title: The Disconnect Between Novel Oral Anticoagulant Eligibility and Provincial Drug Coverage: An Albertan Anticoagulation Clinic Audit.
abstract: Canadian practice guidelines for nonvalvular atrial fibrillation (NVAF) recommend that most patients receive a novel oral anticoagulant (NOAC) in preference to warfarin to prevent stroke, but not all patients have insurance that covers NOACs. The gap between optimal therapy and drug coverage is unknown. We retrospectively assessed eligibility for NOACs in patients with NVAF at our single-centre anticoagulation clinic and ascertained whether provincial drug coverage would be in place. Most patients (89%-95%) were eligible, but only 39%-41% qualified for drug coverage. Our findings suggest most Albertans with NVAF might not have drug coverage for optimal medical therapy for stroke prevention.
authors.affiliation: Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Sandeep K
authors.initials: SK
authors.lastname: Dhillon
authors.affiliation: Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: M Sean
authors.initials: MS
authors.lastname: McMurtry
authors.affiliation: Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. Electronic address: tammy.bungard@ualberta.ca.
authors.forename: Tammy J
authors.initials: TJ
authors.lastname: Bungard
mesh_terms: D000284:Administration, Oral; D000416:Alberta; D000925:Anticoagulants / Q000008:administration & dosage / Q000600:supply & distribution*; D001281:Atrial Fibrillation / Q000188:drug therapy*; D054869:Clinical Audit; D004608:Eligibility Determination; D005500:Follow-Up Studies; D006801:Humans; D012189:Retrospective Studies; D020521:Stroke / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants