We are not necessarily negotiating with each person. We rely on a system, a formulary—the Quebec formulary—that has already been negotiated, that already exists. We make it the same for everyone. It is a federal program. The pharmacists are already licensed; the Ordre des pharmaciens takes care of that. They are licensed. We use the Quebec formulary, the RAMQ's, but using the lowest cost. Then the pharmacists sign up.
The coverage is already set and all the RAMQ's medications are covered. We also have the possibility of getting preapproval for medications that may not be covered. The RAMQ, for example, does not cover some anti-malaria drugs, some antiparasitic drugs for intestinal parasites. Nor does it cover vitamins and products like that. Since we are dealing with vulnerable people who are often malnourished, it is better for them to be covered. So we cover them, and they are already in the system. Everything is there. This is not like a union agreement with each pharmacy. Far from it. The pharmacists are licensed and the RAMQ already has a negotiated system for people on social assistance. We just make use of it.