OHIP+ came into effect on January 1st, 2018. OHIP+ is also known as Child and Youth Pharmacare. It makes many medications free for children and youth up to age 24. (For more info, check out our previous post and infographic on OHIP+: Link.)
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!
These are birth control methods that are definitely covered under OHIP+.
|Most combined oral contraceptive pills (aka birth control pills or The Pill):||
Brevicon 28, Brevicon 1/35 21, Brevicon 1/35 28, Cyclen 21
|Emergency Contraceptive Pills:||Contingency 1, Plan B (made by Paladin Labs Inc.), Backup Plan Onestep, Transderm Nitro 0.6|
|Other methods:||Depo-Provera injection|
These are birth control methods that are not covered under OHIP+.
|Newer oral contraceptive pills:||
Cyestra-35 21, Diane-35 21, Indayo 91, Lo Loestrin Fe
|Intrauterine devices (IUDs):||Copper IUD
Jaydess (LNG IUS 8) IUD
|Other methods:||Nuvaring (contraceptive ring)|
These are birth control methods that are covered under OHIP+ in some circumstances.
This is covered if you happen to have a heavy flow during your menstrual cycle, and this is the reason for the prescription (other than its intended use as a birth control option).
|Kyleena (LNG IUS 12) IUD:||Still under consideration for approval|
|Some oral contraceptive pills:||Alesse 21, Alesse 28, Alysena 21, Alysena 28
Apri 21, Apri 28, Aviane 21, Aviane 28
Marvelon 21, Marvelon 28, Micronor 28, Min-Ovral 21
Min-Ovral 28, Plan B (made by Teva Branded Pharmaceutical Products)
Portia 21, Portia 28, Tri-Cyclen Lo 21, Try Cyclen Lo 28, Visanne, Yaz 28
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 [Link] or the Check Medication Coverage page on the Ontario.ca website [Link], 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:
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.
If you have questions about this topic, feel free to contact one of our peer educators. [Link]
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