OHIP+ completely covers the cost of more than 4,400 drug products that are currently available through the Ontario Drug Benefit program, including:
To find out if your medication is covered through the Ontario Drug Benefit Program visit www.ontario.ca/page/check-medication-coverage/ or ask your Guardian or I.D.A. pharmacist for more information.
Medications available through the Exceptional Access Program may also be covered if an individual qualifies
If the prescribed medication is not covered by OHIP+, your Guardian or I.D.A. pharmacist may be able to recommend alternative medications that are covered by OHIP+.
If you have private insurance, some drugs not covered by OHIP+ may be covered by your insurance plan.
The Exceptional Access Program (EAP) may enable access to some medications for which no appropriate alternative is covered by OHIP+. Your healthcare provider is required to submit a request on your behalf. If approved, the full cost of the medication will be covered. Visit www.ontario.ca/page/applying-exceptional-access-program for more information on EAP.
If your child is age 24 or under and a member of a Trillium Drug Program household, as of January 1, 2018 they are covered through OHIP+.
This means, because you don’t pay out-of-pocket for their medications, no money from those medications counts toward your deductible.
The Ontario government will contact individuals prior to their 25th birthday to ensure those who still need drug coverage enrol in the Trillium Drug Program.