Reimbursement of Lucentis in Ontario
The Government of Ontario announced on March 13, 2008, that it would be including Lucentis in the Ontario Drug Benefit (ODB) Program as of March 25. Lucentis was included in the ODB formulary as a general benefit, which means that eye doctors in Ontario are free to prescribe it to Ontario citizens according to their clinical expertise and judgement.
For more information, please see Questions and Answers about the Reimbursement of Lucentis from the Government of Ontario (PDF format).
Through the ODB Program, the Ontario Ministry of Health and Long-Term Care covers most of the cost of prescription drug products listed in the ODB formulary. If you belong to one of the following groups of Ontario residents and you have valid Ontario Health Insurance (OHIP), you are eligible for drug coverage under the ODB Program:
- people 65 years of age and older;
- residents of long-term care facilities;
- residents of Homes for Special Care;
- people receiving professional services under the Home Care program;
- Trillium Drug Program recipients.
In addition, if you are receiving social assistance (Ontario Works or Ontario Disability Support Program assistance), you are eligible for ODB coverage.
For more information, see the ODB page on the Government of Ontario’s website.
The Trillium Drug Program (TDP) is intended for Ontario residents who have high prescription drug costs in relation to their net household income and who are not covered under other ODB programs or medical insurance plans.
For more information, see the Trillium Drug Program page and “A Guide to Understanding the Trillium Drug Program.” (PDF format)
View forms and applications related to the Government of Ontario’s Drug Benefit Programs.