Medication costs and coverage

Medication is priced separately from your care fee. A private plan or an Ontario drug program may help.

Drug coverage: Depends on your plan
Medication: Priced separately

Care fees and medication costs

Medication: If prescribed, it is priced separately and charged to your Avora account. The pharmacy shares the price before filling.

Check your medication coverage

Check coverage with Ontario

Medication coverage options

A private or workplace plan: Your insurer or pharmacist can check whether your plan covers a medication and what you would pay.; If you have a benefits plan
Ontario Drug Benefit: You may also qualify through Ontario Works, ODSP, long-term care or eligible home care. The program covers medications on its approved list.; Adults 65+ and other eligible groups
OHIP+: If you have OHIP and no private plan, OHIP+ covers eligible medications until your 25th birthday. You do not need to apply.; Under 25 without a private plan
Trillium Drug Program: You can apply if medication costs are high compared with your household income. A deductible applies. Ontario's checker can help you explore eligibility.; If medication costs are high for your income
Paying directly: You can ask the pharmacy for a price before deciding to fill a prescription. Costs can vary between medications and pharmacies.; Anyone

Coverage depends on eligibility and the medication.

Common questions about costs

Does OHIP cover my prescription?

A health card alone does not cover most prescriptions filled outside hospital. You may qualify for an Ontario drug program, such as OHIP+, Ontario Drug Benefit or Trillium. A private plan may also help.

Is Avora's fee covered by OHIP?

OHIP doesn’t cover Avora’s care fees. Your workplace or private plan may reimburse some costs. We provide a receipt to submit to your insurer.

Can I see the medication price before deciding?

Yes. The dispensing pharmacy shares the price before you agree to fill your prescription. You can also choose another pharmacy.

Can you bill my insurer directly?

We don’t bill insurers directly. We provide a receipt for you to submit to your plan.

Explore your care options.

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Care is subject to clinical evaluation and availability.