OHIP+ Children & Youth Pharmacare Program

OHIP+ Children & Youth Pharmacare Program

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.

Examples include:

  • Antibiotics to treat infections
  • Inhalers for asthma
  • Various insulins, oral diabetes medications and diabetes test strips
  • Antidepressants
  • 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

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