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What Is Covered By OHIP+: Birth Control Edition

OHIP+ provides more than 4,400 drug products at no cost for anyone age 24 years or younger who is not covered by a private plan.

It can be confusing to figure out what specific birth control options are covered by OHIP+. Not all brands of the same product may be covered. For the brands that are covered, there may be a restriction on the number of pills for each brand that can be covered. For instance, Brand X with 21 pills may be covered while the same brand with 28 pills might not be covered.

This post is a list of the hormonal birth control options and brands for those that are definitely covered, those that are not covered and those that are accessible under certain circumstances. We hope you find this list useful!

Definitely Covered 

These are birth control methods that are definitely covered under OHIP+.

Not Covered

These are birth control methods that are not covered under OHIP+.

It’s Complicated

These are birth control methods that are covered under OHIP+ in some circumstances.

Many of the oral contraceptives on the list above have generic counterparts that are covered by OHIP+ and are cheaper. Branded oral contraceptives cost more to cover. However, if your doctor has a specific health reason (e.g. allergies or other negative reactions) for prescribing one of the oral contraceptives on this list, you can get it covered by OHIP+. You should talk to your health care provider about these specific circumstances and whether or not you qualify.

If you and your health care practitioner decide on a birth control option that is not on any of these lists, you can check on the Ontario Drug Benefit Formulary/Comparative Drug Index or the Check Medication Coverage page on the Ontario.ca website , or you can check with your local Ontario pharmacist to see if they are able to cover it.

Alternatively, you can apply for the Exceptional Access Program (EAP) if you:

  • Are 24 or under
  • Have a valid Ontario Health Card
  • Have a valid prescription for birth control

For more information about EAP, visit their website: ontario.ca/page/applying-exceptional-access-program

Once a person turns 25 they are no longer eligible to be covered for medications. However, depending on the circumstances, they can be eligible for subsidized medications. Anyone who may be turning 25 soon should speak to their doctors to come up with a plan for the future.

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emmmyuki

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