Trillium drug program application pdf 2025

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  1. Click ‘Get Form’ to open the Trillium Drug Program application PDF in our platform's editor.
  2. Begin by entering your personal information in the designated fields, including your name, address, and contact details. Ensure accuracy for a smooth processing experience.
  3. Next, navigate to the section regarding your health coverage. Fill in the required details about your current insurance provider and policy number.
  4. Proceed to the income section. Input your household income and any relevant financial information as requested. This is crucial for determining eligibility.
  5. Finally, review all entered information for completeness and accuracy. Use our platform’s tools to make any necessary edits before submitting.

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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.
In Ontario, your Ozempic prescription may be covered by the Ontario Drug Benefit (ODB) Program, provided youre between 18-24, over 65 or meet other eligibility criteria. However, this is only if youre unable to tolerate metformin or if metformin doesnt adequately control your blood glucose levels.
The Exceptional Access Program ( EAP ) facilitates patient access to drugs not funded on the Ontario Drug Benefit ( ODB ) Formulary, or where no listed alternative is available.
All OHIP-insured seniors aged 65 years and over automatically qualify for the ODB Program. Seniors pay a $100 annual deductible before they are eligible for drug coverage.
Who is Eligible. Ontario residents (individuals or families) with valid Ontario Health Insurance (OHIP) may apply, regardless of their income, if they do not have private insurance or their private insurance does not cover 100% of their prescription drug costs.
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If you are 24 years old or younger, do not have a private drug plan (through school, your employer, your parents or through NIHB), and you have a valid Ontario health card, you automatically qualify for free prescription medications, regardless of your income, or your familys income.
To request the removal of a household member from your TDP household, you need to complete the Request to Remove a Household Member(s) from the Trillium Drug Program form, and explain the members relationship to the household, and the reason for removal.

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