Ozempic (semaglutide) is a medication used to treat type 2 diabetes and has also been shown to be effective for weight loss. If you're a resident of Ontario, Canada, and rely on the Ontario Disability Support Program (ODSP) for financial assistance, you may be wondering if Ozempic is covered by ODSP. In this guide, we'll walk you through the process of determining coverage and provide you with the necessary information to make an informed decision.
Ozempic (semaglutide) is a medication used to treat type 2 diabetes and has gained popularity for its weight loss benefits. If you're receiving support through the Ontario Disability Support Program (ODSP), you might be wondering if Ozempic is covered.
For those seeking weight management support on ODSP, you may want to discuss other covered treatments with your doctor. While most GLP-1 drugs for weight loss (like Wegovy) are not currently covered by the ODB, other interventions like may be covered by OHIP for those meeting specific BMI and health criteria. is ozempic covered by odsp
. As of January 31, 2024, the Ontario government transitioned Ozempic from a general benefit to a restricted status to ensure supply for those with the highest clinical need. ontario.ca +3 Eligibility Requirements for ODSP Coverage To have Ozempic covered under your ODSP drug card, you must meet the following criteria established by the Ontario Drug Benefit (ODB) Program : 10 sites Questions and Answers Regarding Ozempic Funding Status ... Jan 26, 2024 —
The ODB will not fund Ozempic if it is used in combination with other GLP-1 receptor agonists or DPP-4 inhibitors. Is Ozempic Covered for Weight Loss on ODSP? Ozempic (semaglutide) is a medication used to treat
If the pharmacy says "not covered," ask why:
The pharmacist will bill the ODB program. If approved, your copayment will be: While most GLP-1 drugs for weight loss (like
As of [current date], Ozempic (semaglutide) is not directly covered by ODSP as a standard benefit. However, there are exceptions and potential pathways to access the medication:
if you have a rare medical reason that doesn't fit the Limited Use criteria. Your doctor must fill out an EAP form and send it to the Ministry of Health.
No, or weight management under ODSP. While the drug is often prescribed "off-label" for weight loss, the Ontario government does not provide public funding for this use. If you do not have Type 2 diabetes and meet the specific LU criteria, you will likely be required to pay the full cost out-of-pocket, which typically ranges from $200 to $300 per month in Ontario. How to Get Coverage If you believe you meet the criteria for Type 2 diabetes: