Percentage of Claims Accepted by Public Drug Programs for Generic Drugs

Identifying Attributes

Care Settings
Primary Care
Country
Canada
Publishing Organisation
Canadian Institute for Health Information (CIHI)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Efficiency
Domain
Wait and System Planning / Access

Defining Attributes

Definition

The rate of claims accepted by public drug programs for generic drugs

Numerator

Total number of claims made to public drug programs for a generic drug product

Denominator

Total number of claims made to public drug programs

Exclusions

Any claims not submitted to or accepted by public drug programs, including claims submitted to a private insurer or cases where the individual pays out of pocket Claims for brand name products

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Standardised clinical data
Data Collection Methods

National Prescription Drug Utilisation Information System (NPDUIS) Database

Frequency of Data Collection
Whenever required for analytical product or data request
Frequency of Data Collection in Days
Reporting Methods

Prescribed Drug Spending in Canada - website defunct

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025