Hello @formywife. The question you ask about the cost of the biologics is a bit of a complicated one, and although the foks at Toronto Western are brilliant, I doubt they will know the answer to that question.
The answer to your question is: it all depends. Helpful, aren’t we? LOL I’ll explain. What you pay depends on who is paying, and what your deductible is on whatever plan you have. In Canada, we do have socialized medicine, but unlike the NHS, ours does not cover drugs. Most (but not all) people have drug coverage insurance for that, and most (but not all) drug coverage insurance has a co-pay that varies greatly.
People with no drug coverage insurance: pay top retail price, which I understand is upwards of $20K per year. In the case of biologics, very few people can afford that, and they resort to the government catastrophic drug costs plan (below)
Those with employer-paid drug coverage: co-pay varies by plan. Some have little or no co-pay. Others have a co-pay that might be 10% or it might be 50%, just depends. I’m guessing that your job will come with drug coverage of some sort. How much the actual drug price is varies, though, according to the price the insurance company has negotiated with the drug company.
Government catastrophic drug coverage: this varies from province to province, because health is administered provincially. This coverage is means tested: they assess your co-pay as a percentage of your disposable income (as calculated on your tax return) The cost of your co-pay is based the price
your provincial government has negotiated with the drug company.
Bottom line is: I have no idea But you may be able to get some better information through one of our major pharmacies with a big online presence: https://www1.shoppersdrugmart.ca/en/Contact-Us
Give them a try.
You may also want to have a chat with @Golfnut, one of our members who came to Canada from the UK to work a few years ago.