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ARTICLE · 07 MARCH 2019

Proposed Changes To OHIP+ Program

The OHIP+ program, also known as Children and Youth Pharmacare program, was implemented on January 1, 2018 by the Province of Ontario to provide free prescription drug coverage for all children and youth 24 years...

CanadaFood, Drugs, Healthcare, Life Sciences

The OHIP+ program, also known as Children and Youth Pharmacare program, was implemented on January 1, 2018 by the Province of Ontario to provide free prescription drug coverage for all children and youth 24 years of age or younger, regardless of family income or whether the child / youth is covered by private insurance. Under the current OHIP+ program, the province is always the first payor for eligible drug products, even if the child / youth is also covered by private insurance.

The new Ontario government said it would amend the OHIP+ program so the province would no longer always be first payor, but that the province would cover any remaining eligible costs not paid for by private insurance. However, with the Proposed Amendments to Ontario Regulation 201/96 made under the Ontario Drug Benefit Act (proposed to come into force in March 2019), only children / youth without private insurance will continue to receive coverage through OHIP+. For children / youth with

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