Actively Recruiting
Addressing Unfunded Vaccines Through a Co-payment Mechanism in Pharmacies
Led by Canadian Immunization Research Network · Updated on 2026-03-19
600
Participants Needed
2
Research Sites
57 weeks
Total Duration
On this page
Sponsors
C
Canadian Immunization Research Network
Lead Sponsor
D
Dalhousie University
Collaborating Sponsor
AI-Summary
What this Trial Is About
The goal of this pilot demonstration and evaluation project is to determine the acceptability and feasibility of a co-payment model among the public and providers and assess whether a co-payment model in community pharmacies in Nova Scotia and Ontario increases the accessibility and uptake of recommended but unfunded vaccines. The research questions that guided the development of this study are: * What is the feasibility of implementing a co-payment model for recommended but unfunded vaccines in community pharmacies? * To what extent is a co-payment model for recommended but unfunded vaccines perceived as acceptable to community pharmacists and the public? A co-payment model will be piloted at a maximum of 8 select community pharmacy sites in Nova Scotia (n=4 sites) and Ontario (n=4 sites). Each community pharmacy site will be randomly assigned to pilot one of the steps of the co-payment model for the duration of the demonstration project. At the end of the pilot study, participating pharmacy providers will be asked to complete an online survey about their experiences in implementing the co-payment model into their pharmacy. As part of the co-payment model, recruited members of the public (participants) will choose to receive the vaccine (if eligible) at a reduced cost either for themselves or their dependent (e.g., incapable minor or adult), as part of routine care (following standard pharmacy practice). After receiving the vaccine, the participant will complete an online survey exploring their thoughts on the co-payment model, their satisfaction with the co-payment model, their perception on vaccines in general, and their demographics (such as gender, age, education, race/ethnicity).
CONDITIONS
Official Title
Addressing Unfunded Vaccines Through a Co-payment Mechanism in Pharmacies
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Community pharmacies selected based on prescription volume, stable patients, interest and availability, qualified vaccination staff, and minimal health care spill over
- One pharmacy from each of four health zones in Nova Scotia and a mix of urban and rural pharmacies in Ontario
- Members of the public or substitute decision-makers who consent and meet vaccine-specific eligibility criteria
- Eligible vaccines include FluMist Quadrivalent for children 2 to 17 years without contraindications
- Shingrix for adults 50 to 64 years in Nova Scotia or 50 years and older in Ontario without contraindications, or adults 18 and older if immunocompromised
- Abrysvo or Arexvy (RSV vaccines) for adults 50 years or older (Arexvy) or 60 years and older (Abrysvo) at increased risk of severe RSV disease
- Eligibility criteria may be updated based on vaccine recommendations or funding changes
You will not qualify if you...
- FluMist Quadrivalent should not be used in children/adolescents with contraindications, already immunized, pregnant individuals, certain health care workers, adults 18 to 59 with specific conditions, adults 60 and older
- Pediatric patients with private insurance covering most/all FluMist vaccine costs
- Persons with active herpes zoster or already immunized against herpes zoster
- Adults 65 and older in Nova Scotia or 65 to 70 in Ontario for Shingrix, as publicly funded
- Adults 50 to 64 in Nova Scotia or 50 and older in Ontario with private insurance covering most/all Shingrix vaccine costs
- Persons under 50 should not receive RSV vaccines, except Abrysvo in pregnancy
- Adults 60 and older in Nova Scotia living in long-term care or hospitalized awaiting placement for RSV vaccine, as publicly funded
- High-risk older adults 60 and older in Ontario with certain health or social conditions
- Adults eligible for RSV vaccines with private insurance covering most/all vaccine costs
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 2 locations
1
Dalhousie University
Halifax, Nova Scotia, Canada, B3H 4R2
Actively Recruiting
2
University of Waterloo
Kitchener, Ontario, Canada, N2G 1C5
Not Yet Recruiting
Research Team
M
Melissa Kervin, MA
CONTACT
E
Emily Black, PharmD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
4
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