Ontario. Ministry of Health and Long-Term Care

Site: Exceptional Access Program Branch - No Physical Address

Service: Ontario Drug Benefit Program

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Record #: OAK0262 Last Modified: 17 Jul 2014 Last Full Update: 07 Jul 2014
Category Links to Other Records
Older Adult Categories* ALL COMMUNITY HEALTH ; Drug Programs
Location, Telephone & Internet
Office PhoneGeneral inquiry 416-327-8109; 
INFOline, Exceptional Access 1-866-532-3161; 
Trillium Drug program 416-642-3038; 
Seniors Co-payment information 416-503-4586 
Toll Free PhoneGeneral inquiry 1-866-811-9893; 
INFOline, Exceptional Access 1-866-532-3161; 
Trillium Drug program 1-800-575-5386; 
Seniors Co-payment information 1-888-405-0405 
FaxGeneral inquiry 416-327-8912; 
Seniors Co-payment 416-503-8483; 
Trillium Drug program 416-642-3034 
Organization Emailexceptionalaccessprogram@ontario.ca
Websitewww.health.gov.on.ca/en/public/programs/drugs/programs/programs.aspx
Social MediaFacebook Facebook, RSS RSS, Twitter Twitter, YouTube YouTube
Located In CommunityToronto
Description & Services
Service DescriptionThe Ontario Drug Benefit (ODB) Program covers most of the cost of 3,800 prescription drug products, some nutrition products and some diabetic testing agents.  
* the list of products covered by the ODB program is called the Formulary 
* some products listed on the Formulary will only be funded in limited circumstances and/or for a limited duration in time 
 
Under special circumstances the Exceptional Access Program may cover most of the cost of an additional 850 prescription drug products that are not on the Formulary for people in the ODB Program: 
* your doctor must apply on your behalf 
* approval must be given by the ministry before a drug will be funded by the program if it is not on the Formulary 
* to qualify, an Ontario doctor or other authorized prescriber must prescribe the drugs and you must buy them from either: 
* an accredited Ontario pharmacy OR 
* an Ontario doctor who is licensed to sell prescription drug products and is linked to the ministry’s Health Network System  
 
Trillium Drug Program 
* part of the Ontario Drug Benefit program 
* is intended for Ontario residents who have high prescription drug costs in relation to their net household income 
* provides coverage for prescription drug products listed on the Ontario Drug Benefit Formulary 
 
HoursMon-Fri 8:30 am-5 pm
DatesThe benefit year for all ODB recipients starts on August 1 and ends on July 31 of the following year.
Areas ServedOntario
EligibilityIf you belong to one of the following groups of Ontario residents and you have a valid Ontario health card (OHIP), you are eligible for drug coverage under the ODB Program: 
* people 65 years of age and older  
* people who receive financial help through Ontario Works or the Ontario Disability Support Program  
* residents of Homes for Special Care and Long-term Care Homes  
* people receiving professional home care services  
* registrants in the Trillium Drug Program 
 
You may qualify for the Trillium Drug Program if: 
* you are an Ontario resident and have a valid Ontario health card AND you are not covered under ODB as: 
* a senior over 65 years of age 
* someone who receives financial help through Ontario Works or the Ontario Disability Support Program 
* a resident of a Long-Term Care home or Home for Special Care or someone who receives Home Care Services OR 
* you don't have private health insurance or your private insurance does not cover 100% of your prescription drug costs 
 
 
Application* seniors are automatically enrolled in the Ontario Drug Benefit program 
* low income seniors may fill in a co-payment form or they may call the Seniors Co-payment line to have a form mailed out to them 
 
Trillium Drug Program 
* you must apply for the Trillium Drug Program 
* applications and guides are available at local pharmacies, or by calling 1-800-575-5386 (toll free) 
* download the application and guide  
 
LanguagesEnglish ; French
FeesUnder the Ontario Drug Benefit (ODB) program, ODB eligible recipients may be asked to pay some portion of their eligible prescription drug product cost 
Other Details
FundingProvincial
Wheelchair AccessibilityUnknown or Not Applicable
Other Links for Searching
Service CategoriesGovernment Subsidized Prescription Drug Benefits