This document discusses opportunities for increased collaboration across formularies in Saskatchewan's health regions. It provides context on the current decision-making processes and formularies within the Regina Qu'Appelle Health Region. Challenges include differences in coverage of drugs between regions that can impact patients who transfer between facilities. Greater alignment is needed, as demonstrated by a successful example of a provincial working group that aligned ticagrelor coverage based on clinical evidence. Overall, the speaker argues that formalizing collaboration through initiatives like joint evidence reviews and policy consultation can help standardize practices across regions to improve patient care continuity.