OHIP+: Children and Youth Pharmacare: An update on public drug coverage for PH medications for youth in Ontario

OHIP+: Children and Youth Pharmacare An update on public drug coverage for PH medications for youth in Ontario


Earlier this year, the government of Ontario announced the expansion of the Ontario Health Insurance Program (OHIP) to include coverage of all children and youth aged 24 and younger. Starting January 01, 2018, drug products currently available through the Ontario Drug Benefit Program will be free to everyone under the age of 25. Medications currently available through the Exceptional Access Program – including treatments for pulmonary hypertension – may also be covered for qualified individuals. 

On November 08th, the Ministry of Health and Long Term Care met with health care professionals at Sick Kids Hospital to inform them of the steps that need to be taken to transition patients to drug coverage under OHIP+. Requests to the Exceptional Access Program for coverage of PH medications are due by January 01st. These requests will receive priority review from the Exceptional Access Program. Sick Kids is currently working to submit all requests and will be in touch with parents by mid-December.

For more information about OHIP+, please visit https://www.ontario.ca/page/learn-about-ohip-plus.

For questions about applying to Ontario’s Exceptional Access Program for drug coverage for a patient under the age of 25, please contact your PH clinic directly.

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