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With the launch of OHIP+ by the Ontario government on January 1, 2018, all children and youth age 24 years and under who are OHIP-insured will be automatically covered under the Ontario Drug Benefit (ODB) program for approximately 4,400 drugs covered under their formulary. The member only needs to present their OHIP card when at the pharmacy.

For plan members or their covered family dependents who meet these criteria, OHIP+ will become first payer (at 100%) for these drugs.

All other elements of your benefit plan, including drugs not covered by OHIP+, will remain unchanged.

For most drugs and treatments that are part of OHIP+, you will not have to do anything. Starting January 1, these claims will be sent to OHIP+ directly at pharmacy.

Additional drugs will also be eligible for reimbursement through the Exceptional Access Program (EAP). To receive coverage for an EAP drug, you and your medical professional will need to make a funding request. If you or a family member is impacted by EAP, you will be contacted by Medavie Blue Cross or by your Patient Support Program with instructions on how to complete this process.

You can find out more about OHIP+ on their website.