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