We try and stay informed of the changes that happen within the Ontario Ministry of Health and share that information when it becomes available. Most employees and their dependent children are having claims paid at the pharmacy with no problem, but from time to time they may come to you with questions and below are some links that may prove helpful.
March 16, 2018
We are pleased to share this update on OHIP+: Children and Youth Pharmacare (OHIP+) with you.
As the weekly webinars have now ended, the ministry will continue to provide updates through eblasts to ensure individuals receive the information they need regarding OHIP+.
If you have any questions or comments, please feel free to contact the ministry at OHIPplus@ontario.ca.
OHIP+ ACTIVITY SINCE LAUNCH:
As of March 16, 2018, there have been more than 2.5 million OHIP+ paid claims processed. This includes antibiotics to treat infections, inhalers for asthma, various insulins, oral diabetic medications and diabetes test strips, epinephrine auto-injectors (e.g. EPIPENs®), and drugs to treat arthritis, epilepsy and other chronic conditions.
EXCEPTIONAL ACCESS PROGRAM
If an OHIP+ recipient needs a drug not listed on the Ontario Drug Benefit (ODB) Formulary, they may be able to get the drug covered under the Exceptional Access Program (EAP).
To see if a drug is available through the EAP, please visit the following website: www.ontario.ca/page/check-medication-coverage/
To view a list of EAP medications please see the attached DIN list or visit:http://www.health.gov.on.ca/en/pro/programs/drugs/eap_criteria.aspx
For more information on the EAP, visit https://www.ontario.ca/page/applying-exceptional-access-program#section-0
Check the online eFormulary for LU drugs and criteria: https://www.formulary.health.gov.on.ca/formulary/
For information on EAP reimbursement criteria of frequently requested drugs including biologics, please visit: http://www.health.gov.on.ca/en/pro/programs/drugs/docs/frequently_requested_drugs.pdf).
Visit us online at www.ontario.ca/OHIPplus
Prescription Drug Checker Tool: www.ontario.ca/page/check-medication-coverage/