Amanda Turkiewicz

CF Drug Coverage in Ontario

 


Ontario's CF Special Drug Program

If you are cared for by the team at St. Michael's Toroton Adult CF clinic, and are a resident of Ontario, then you have drug access and coverage  (funding) for certain CF medications through the Ontario Special Drugs Program. This program does not have any deductibles or co-payments so you will not have to pay for any of the medications that are covered through the program (the list of covered medications is here). These covered medications are dispensed by the out-patient pharmacy at St. Michael's Hospital, the Prescription Care Centre.

 

 


Ontario Drug Benefit (ODB) Program

Some CF medications and many non-CF medications can be accessed through the province's drug benefit program. A list of over 4,400 drugs are accessible to individuals over 65 years of age, those that qualify for the Ontario Disability Program (OSDP), or those enrolled in the Trillium Drug Program (TDP).

 


OHIP+

On January 1, 2018, individuals age 24 and under will have access to all medications on the Ontario Drug Benefit Formulary and any medications specially requested through the Exceptional Access Program (EAP), at no cost and with no deductibles.

 

 


Private Insurance Plans

Alternatively, you may have most of your drug costs covered by your (or your parents') employer, as most benefit plans will cover the same medications from the Special Drugs Program list.

 


Please speak to your social worker to determine if you are eligible for the Ontario Disability Support Program (ODSP) or the Trillium Drug Program (TDP).

For more information about drug access, please speak to your CF drug access navigator or CF pharmacist.