What’s Not Covered

Only drug products or supplies specifically listed as covered in the Drug Inquiry Tool may be reimbursed and are subject to any limitations, maximums or exclusions as indicated. The following are a number of products and/or services not covered under the plan. Note that this list is not exhaustive.

  • Experimental drugs
  • Drugs or indications of use that are not approved by Health Canada
  • Vitamins, minerals, or herbal drugs
  • Over-the-counter drugs that are not on the life-sustaining over-the-counter exceptions list (e.g. low dose aspirin)
  • Administration fees for drugs such as Botox (migraines) and joint injectables
  • Early refills for drugs without any extenuating circumstances
  • Treatment that is experimental, educational or for the purpose of research
  • Treatment provided free of charge
  • Non-emergent drugs purchased outside Canada
  • Expenses covered through a government program, whether or not you or your dependants choose to participate in the program
  • Medical services and supplies provided by a dental or medical department in which there is a conflict of interest (e.g. maintained by the employer, a mutual benefit association, labour union, trustee or similar type of group)
  • Expenses incurred while on active duty in any military or peacekeeping force
  • All coverage where your conduct would constitute an indictable offence within Canada
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