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  • Request For An Unlisted Drug Product 3rd Floor

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Individual Eligibility Review Branch Request for an Unlisted Drug Product 3rd floor, 5700 Yonge St. Individual Clinical Review (ICR) Toronto ON M2M 4K5 Please fax completed form and/or any additional.

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Once you turn 65, most of the cost for approved drug prescriptions will be covered under the Ontario Drug Benefit (ODB) Program. If you want to know if your prescription is covered, you can search here. Ontario also offers several free vaccines for those 65 years of age and older.

The Ontario Drug Benefit program covers most of the cost of approximately 5,000 prescription drug products. It also helps you pay for: allergy shots and epinephrine injectable products (used in response to severe allergic reaction) some products used in monitoring and testing for diabetes.

You are eligible for ODB program benefits if you live in Ontario, you have a valid Ontario health card and at least one of these statements applies to you: I am 65 years of age or older. I am under 25 years of age. I live in a Long-Term Care Home or a Home for Special Care.

You can get more information about Ontario Drug Benefit programs by calling Service Ontario: toll-free telephone 1-866-532-3161, TTY toll-free 1-800-268-7095, or by visiting the ODB Main Page: .health.gov.on.ca/en/public/programs/drugs/default.aspx.

EAP facilitates patient access in exceptional circumstances to drugs approved for sale in Canada but not listed on the Ontario Drug Benefit (ODB) Formulary, or where Formulary drugs were ineffective or not tolerated, or where no listed alternative was available.

You may be covered by Ontario Drug Benefit if you have OHIP coverage and are: eligible for OHIP+ age 65 or older. living in a long-term care home or a home for special care.

Request forms If you are submitting a request via fax or mail, authorized prescribers (physicians and nurse practitioners) can use the Standard Form [Request for an Unlisted Drug Product — Exceptional Access Program ( EAP )], or for certain drugs, authorized prescribers can use a drug specific electronic form (e-form).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232