As of January 1, 2018
The new OHIP+ Children and Youth Pharmacare Program now covers 100% of the cost of over 4,400 medications for everyone under 25 years old. Coverage is automatic, with no enrollment, no upfront costs, no co-payment or annual deductible.
All you need is an Ontario health card number and a valid prescription. You must bring your health card with you to the pharmacy.
What drugs are covered under OHIP+?
Over 4,400 medications and other drug products are fully covered. Under OHIP+, all drugs listed on the Ontario Drug Benefit (ODB) Formulary are covered.
- Antibiotics to treat infections
- Inhalers for asthma
- Various insulins, oral diabetes medications and diabetes test strips
- Epilepsy medications
- Medications to treat mental health conditions
- Attention deficit hyperactivity disorder (ADHD) medications
- Medications to treat some childhood cancers and other rare conditions
What if the drug is not covered under OHIP+?
If the drug you have been prescribed is not covered by OHIP+, there are a number of options to consider. Your Winchester Pharmasave Pharmacist is here to help and can review the following options with you.
Speak to your Doctor/Pharmacist – There may be an alternative medication covered by OHIP+ that is suitable for you.
Private Insurance – If you have private insurance, some drugs not covered by OHIP+ may be covered by your insurance plan.
Exceptional Access Program (EAP) – This program may enable access to some medications for which no appropriate alternative is covered by OHIP+. Your Doctor or Nurse Practitioner is required to submit a request on your behalf. If approved, the full cost of the medication will be covered. Visit ontario.ca/page/applying-exceptional-access-program
If you have any questions about OHIP+ and your drug coverage, your Pharmacist is here to help. Want more information?
• For general OHIP+ questions or comments, email: OHIPplus@ontario.ca
• To learn more about OHIP+, visit: ontario.ca/page/learn-about-ohip-plus
• To learn more about the Ontario Drug Benefit program, visit: ontario.ca/drugbenefit