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Dr. Perepelkin is assistant professor of social and administrative pharmacy at the University of Saskatchewan’s College of Pharmacy and Nutrition, Saskatoon, Saskatchewan, Canada. He is also an associate member of the Department of Management and Marketing, Edwards School of Business. Dr. Perepelkin received his BA (Social and Cultural Geography), BCom (Marketing), MSc (Pharmaceutical Policy), and PhD (Pharmacy Management) from the University of Saskatchewan. Dr. Perepelkin collaborates closely with pharmacy regulatory and advocacy bodies and strives to bridge practice and research. Dr. Perepelkin teaches in the areas of pharmacy management, marketing, leadership, communications, health and pharmaceutical policy, organizational behavior, and human resources management. His research interests are in branding and marketing of pharmacists, pharmacy services and pharmacies, pharmacy management curriculum, the interaction between professional and business obligations in community pharmacy, and service quality and trust in community pharmacies.



Building on the foundations in pharmacy management outlined in previous chapters, this chapter will explore pharmacy management functions in various health care systems outside the United States, with particular emphasis on Canada.

After completing this chapter, readers will be able to

  1. Understand the process Canadian-educated pharmacists go through to practice in Canada.

  2. Describe alternatives to the United States health care and pharmacy delivery and reimbursement systems.

  3. Identify commonalities and differences between pharmacy management within and outside the United States.

  4. Apply management theories and concepts in Canada and other countries with alternative health care systems.

  5. Discuss implications of systems in some additional countries, such as those of the United Kingdom, New Zealand, and Australia, on pharmacy management.


As a professional student in her fourth and final year of pharmacy school, Julia was used to facing billing issues with numerous third-party insurance companies. However, this time was exceptionally frustrating as Julia was having to deal with getting an aerosol chamber covered for a patient through noninsured health benefits (NIHB); NIHB is the insurance program for First Nations and Inuit people in Canada, which is a federal program that covers a limited range of health care goods and services that are not insured through the Canada Health Act, so as to help First Nations and Inuit people reach overall health comparable to other Canadians. NIHB would cover only one size of aerosol chamber per child per year, and the patient already received one 6 months earlier, yet Julia knew that without coverage the patient would not receive the proper dose of his asthma medication and that his parents could not afford to pay out-of-pocket for another one. While Julia had been taught in her courses about management situations such as this, she did not think they might be so prevalent in a pharmacist’s practice.


  1. What is the formal education process to become a registered pharmacist in Canada?

  2. What pharmacy services are covered under the ...

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