Who pays for the coumadin adjustment (via blood test results) the client or reimbursed by RAMQ to the pharmacist?

The cost of adjusting the dose of Coumadin based on the NRT result is paid by the RAMQ (fee negotiated with the government) just like any other drug service. You may pay a portion or your deductible may be applied to the amount, but the service is still paid by the RAMQ