Sudbury District Nurse Practitioner Clinics
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OHIP Coverage 24 and Under

What do I need to know about changes to medication coverage for youth under age 24?

Starting January 1st, OHIP will be paying for medication costs* for Ontario residents aged 24 and under. If you have not done so already, please bring your child's health card to your pharmacy to ensure as smooth a transition as possible. 

What medications are covered? 

There are 4400 medications considered eligible on the Ontario Drug Benefit formulary. 

You can check which medications are covered online at: 

https://www.ontario.ca/page/check-medication-coverage

(or Google OHIP+ and look for the website "Learn about OHIP+" for a link to search covered drugs)

What if I have medication coverage already? 

Even if you have a drug plan (e.g. from your employer), the pharmacy will be required to bill OHIP first. You are not able to 'opt out' of OHIP+ coverage in order to continue your plan coverage as before. 

What if my child takes medication that isn't covered?

Your primary care provider may be able to apply for coverage for medications that aren't listed as a general benefit. This process can take some time, so please make an appointment as soon as possible to discuss with your nurse practitioner. 

If your application is not approved, your private insurance plan may continue to cover the medication. Please consult your plan adjudicator for more information.

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