We believe it is important to minimize opportunities for misuse and diversion, while ensuring members have access to effective opioid-based pain treatments when clinically appropriate.
We take an evidence-based approach to managing the drugs that are covered for our members. To help protect your health, we recently implemented new rules around coverage of opioids, focused on encouraging appropriate prescribing of opioids in pain management. Our approach reflects the most recent opioid prescribing guidelines endorsed by the Canadian Medical Association.
If you are prescribed an opioid that is not covered by your plan, you can speak to your pharmacist or health care provider about other options available to address your diagnosis.