Over-the-Counter Medications for Indigenous People in British Columbia: Identifying Barriers to Access & Potential Solutions

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In 2020, Indigenous community members approached CREAN with concerns about difficulties getting over-the-counter (OTC) medication costs covered in BC. In response, CREAN established a community Advisory Committee and undertook a mixed-methods study examining Indigenous experiences of accessing insurance coverage for OTC medications. Reducing barriers to coverage is an important step in helping close the gap on health outcomes between Indigenous and non-Indigenous people.  

The study results showed a lack of awareness, information, and understanding of insurance program coverage for OTC medications in BC, on the part of Indigenous individuals and healthcare providers. Many participants felt that whether or not coverage is obtained depends on the response of the specific pharmacist/pharmacy; pharmacists reported that they feel they are often putting in extra work to ensure coverage is provided. Indigenous participants emphasized that experiences of racism and discrimination are common when attempting to access coverage for OTC medication.

Participant recommendations to reduce barriers to accessing coverage for OTC medications in BC include increased awareness and information about insurance program coverage details (e.g., more plain language information shared at pharmacies and health centres, with healthcare professionals, and with Indigenous communities), and increased education and cultural competency/safety training for healthcare providers. The majority of participants felt that it would be beneficial to have coverage information all in one place, including clearer instructions about how the coverage process works. Pharmacists suggested that program information be shared through licensing boards, colleges of the health professionals, and in newsletters. 

Media coverage: Chek News, Nov. 7, 2023

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