Ontario Public Drug Programs, Ontario Drug Benefit Program
|Address||5700 Yonge St, 3rd Flr|
Toronto, ON M2M 4K5
|Office Phone||Exceptional Access Program Branch 416-327-8109 * Ontario Drug Benefit Program 416-503-4586 * Trillium Drug Program 416-642-3038|
|Toll Free Phone||Exceptional Access Program Branch 1-866-811-9893 * Ontario Drug Benefit Program 1-888-405-0405 * Trillium Drug Program 1-800-575-5386|
|Fax||Exceptional Access Program Branch 416-327-7526 * 1-866-811-9908 * Ontario Drug Benefit Program 416-503-8483 * Trillium Drug Program 416-642-3034|
|Primary Contact||Lana Sheinbaum, Acting Director, Exceptional Access Program Branch|
|Primary Executive||Diane McArthur, Executive Officer/Assistant Deputy Minister; Phone: 416-212-4724; Email: PublicDrugPrgrms.email@example.com|
|Description & Services|
|Hours||Mon-Fri 8 am-5 pm|
|Description||Through the Ontario Drug Benefit (ODB) Program, the Ministry of Health and Long-Term Care covers most of the cost of 3,800 prescription drug products listed in the Ontario Drug Benefit Formulary. A person licensed to practice in Ontario must prescribe the medication and the prescription must be filled in Ontario. |
The benefit year for all ODB recipients starts on August 1 and ends on July 31 of the following year.
The Trillium Drug Program covers individuals and households who have high drug expenses in relation to their income.
The Special Drugs Program provides coverage for certain categories of high cost drugs used in the treatment of specific conditions on an out patient basis in a hospital.
|Eligibility||People who belong to one of the following groups of Ontario residents and have valid Ontario Health Insurance (OHIP) are eligible for drug coverage under the ODB Program: |
65 years of age and older * residents of long-term care facilities * residents of Homes for Special Care * people receiving professional services under the Home Care program * Trillium Drug Program recipients.
People who are receiving social assistance (the Ontario Works program or the Ontario Disability Support Program (ODSP)) are eligible for ODB coverage.
|Application||Applications for the $2 co-payment for Seniors and the Trillium Drug Program are available at all Ontario pharmacies, online, or by calling 416-314-5518.|
|Fees||None ; ODB eligible people may be asked to pay some portion of their prescription drug product costs. |
Single seniors (people aged 65 or older) who have an annual income of $16,018 or more and seniors in couples with a combined annual income of $24,175 or more pay a $100 deductible per senior before they are eligible for drug coverage. After these seniors pay the deductible, they then pay up to $6.11 toward the dispensing fee each time they fill a prescription for a covered drug product in Ontario in the benefit year.
If seniors' income is below the above noted levels, a senior may be eligible for the $2 co-payment plans.
Trillium Drug Program registrants must pay a deductible that is based on their household net income and the number of household members. Deductibles are payable on a quarterly basis and recipients receive benefits after the deductible for the quarter is paid. In the first year of entering the program, there is a pro-rated deductible for households who come into the program part way through the program year. In addition, recipients may be asked to pay up to a maximum of $2 for each prescription.
All other ODB eligible people may be asked to pay up to $2 each time they fill a prescription.
|Languages of Service||English ; French|
|Date Updated||25 Jul 2012|
|Print Material||See Website|
|Established||Public Health Act: 1882; Ministry of Health: 1971; Ministry of Health and Long-Term Care: 1999|
|Legal Status||(30) Provincial Government|
|Subjects||Drug benefit cards ; Financial assistance ; Prescription drugs ; Provincial government ; Seniors|
|Broader Terms||Adults ; Age groups ; Drugs ; Financial services ; Government ; Medical identification|