Do you have HEPATITIS B or are you a CAREGIVER for someone with HBV? This is really important for you! An improved hepatitis B treatment will likely be covered by BC (Canada) PharmaCare soon, but first the BC government has requested HepCBC to submit a patient group review explaining whether hepatitis B patients want this new treatment, and why.


HepCBC needs to hear your voices (English or Chinese 中文 ) in order to prepare our review! We need to know:

  • What is your experience with hepatitis B? (patient for “X” years, caregiver or nurse; country you live in, ?)
  • How has hepatitis B affected your life or that of your patient(s)? – (This can be a few sentences or a few paragraphs, it’s up to you).
  • What sort of treatment(s), if any, have you tried and how have they affected you – both positive and negative (Were there side effects and did the treatment[s] work?)
  • Do you support having the new treatment listed and covered by BC PharmaCare? Why or why not?
  • Any further suggestions or something else you want to add?

Send your phone or email input (English or Chinese 中文 ) BEFORE Monday, February 19, 2018 (midnight) to:

ENGLISH: 604-259-0500 / (ATTN Cheryl)

CHINESE 中文: 604-330-0096 / (ATTN Alan)



What is the new hepatitis B treatment?
It is tenofovir alafenamide or TAF (brand name VemlidyTM). Made by Gilead Sciences Canada, Inc., adult patients with chronic hepatitis B and compensated liver disease take one 25mg tablet once daily. This dose uses only one-tenth (10%) the tenofovir now used in the current treatment for both HBV and HIV, tenofovir disoproxil fumarate or TDF (Viread™), 300mg daily, but with comparable effectiveness in HBV viral suppression. The presumed benefit is far less long-term damage to HBV patients’ kidneys and bones. The federal government has already issued a Notice of Compliance from Health Canada (June 19, 2017).

Pricing comparison:
TAF (Vemlidy) is $21.11 per day vs TDF (Viread) which is $5.28 per day. (prices courtesy CADTH).

What treatments are currently listed by BC PharmaCare for patients with Chronic Hepatitis B?

  • entecavir or ETV (generic), especially for those with cirrhosis or portal hypertension, $5.94 per day – CURRENT STANDARD OF CARE (1 of 2)
  • Viread™ or tenofovir disoproxil [fumarate] or TDF (Gilead and generic), $5.28 per Daily dose is 300 mg tenofovir (long-term use known to cause kidney and bone problems) – CURRENT STANDARD OF CARE (2 of 2)
  • lamivudine (generic) $3.81 per No longer in preferred guidelines but still used by many.
  • Intron A® or interferon alfa-2b injections are sometimes used on a temporary Price varies with duration.
  • adefovir dipivoxil (generic) for those with lamivudine resistance, $20.27 per Very rarely used.

More details:  alafenamide-for-the-treatment-of-chronic-hepatitis-b-virus-infection-629352103.html

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