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  1. Cancer drugs may be covered by public funding programs (e.g., Ontario Drug Benefit, Trillium, New Drug Funding Program, Evidence Building Program, Case-by-Case Review Program, hospitals or by private pay (private insurance or patient).

  2. The Ministry of Health pays for many take-home cancer drugs through several programs: The Ontario Drug Benefit (ODB) Program covers the cost of many drugs for people as soon as they turn 65 years old. You may also qualify if you are:

    • Pan-Canadian Review Process
    • Provincial Review Process
    • The Role of Ontario Health
    • Pharmaceutical Manufacturers

    In Ontario, new cancer drugs are typically reviewed through a pan-Canadian review process: Health CanadaOpens in a new windowprovides market authorization for a given drug and indication (reason for use). Canadian Agency for Drugs and Technologies in Health (CADTH)Opens in a new windowwill conduct a health technology assessment that evaluates the c...

    Ontario has a rigorous process for evaluating drugs. It includes an explicit consideration of a drug’s safety, as well as the clinical- and cost- effectiveness of each drug. This process also incorporates input from patients on quality-of-life considerations. For Ontario-specific drug funding gaps: 1. Ontario Health’s Drug Advisory Committees (a gr...

    Ontario Health, along with the Ministry of Health, participates in various points of the drug review process including: 1. Providing secretariat support to the Ontario Steering Committee for Cancer Drugs(OSCCD) 2. Working with Drug Advisory Committees (DACs) to identify Ontario-specific funding gaps. (We have nine DACs that have clinical experts in...

    For pharmaceutical manufacturers who need information on drug submissions, please see: 1. Ministry of Health - Drug Submission GuidelinesOpens in a new window 2. Drug Submissions for Manufacturers

  3. Feb 28, 2024 · The Canadian Cancer Society estimates that covering the medication would cost the province between $17 million and $44 million a year, depending on whether it goes with a first-payer...

  4. Ontario Health (Cancer Care Ontario)’s New Drug Funding Program covers the cost of many newer, and often very expensive, injectable cancer drugs given in hospitals and cancer centres. If you qualify, the program reimburses the hospital directly on your behalf.

  5. Jan 18, 2022 · CCS’s new report estimates that about 20% fewer uninsured patients are accessing take-home cancer medications in Ontario compared to patients with comprehensive public coverage. Currently, coverage eligibility for take-home cancer drugs varies significantly across Canadian provinces.

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  7. There are different financial programs available that can help people with cancer and cancer survivors, as well as their families and caregivers. Financial support programs may change due to the COVID-19 pandemic. Find out more about Canadas COVID-19 Economic Response Plan.

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