Yes, it used an extraordinarily open formulary in the context of Canadian public drug plans. It had conservative assumptions about price savings, when even our analysis vis-à-vis the U.S. veterans administration right here in North America, right south of the border, shows that they save about 50% relative to Canada on generic drugs and about 40% relative to Canada on brands. We know they were conservative on price estimates.
They also didn't factor in some of the therapeutic substitution effects that could happen if we have an evidence-based formulary. Part of that was because they assumed it would be the Quebec formulary. If you have an evidence-based formulary, there are billions of dollars in additional savings to be had.
That's the job of a public drug plan. It's to say it's about value for money. We're going to say yes to covering everybody when the drug's the right price and the right value and we're going to say no when the drug is not the right value. That's where purchasing power comes from.
To the insurance industry's claims that they should be able to be part of the deals that the public drug plans negotiate, when part of your negotiating team says they'll buy anything at any price always, they're not increasing your negotiation power. It's like going into the auto dealer with your partner, who says he wants this car right away and doesn't care what it costs. You're not going to walk away with a good deal.
You have to have buying power. You have to have purchasing partners who are willing to say no when the pricing terms aren't correct.