04/24/2026
If a safe, effective generic pharmaceutical becomes available for a fraction of the price of the brand name version, why doesn’t uptake happen automatically?
Because the current system makes it harder than you’d think.
When market exclusivity ends and a complex generic becomes available, you might expect drug plans to shift quickly to reimburse it. But in most cases, brand-name products remain listed as benefits alongside generics.
After years of established prescribing patterns, the brand often continues to be dispensed, even when a generic alternative is available.
This ultimately weakens the financial incentive for manufacturers to launch future generics in Canada, reducing competition and threatening long-term savings.
Fortunately, there’s a practical way to increase uptake of complex generics, and we’ve already seen it work. Biosimilar switching policies have helped deliver meaningful savings for public drug plans while maintaining patient access, and a similar approach could apply here.
Delisting brand-name versions as benefits upon prescription renewal would allow complex generics to compete more effectively.