Long answer: Your doctor must submit a diagnosis code for diabetes through the EAP (Exceptional Access Program). If you need it for weight loss alone, ODSP will deny the claim.
ODSP will cover Ozempic if it is prescribed for the treatment of Type 2 diabetes. However, because it is a "Limited Use" drug, the prescribing physician must indicate that the patient meets specific criteria on the prescription form. Usually, this involves demonstrating that: does odsp cover ozempic
While Ozempic is effective for weight management, the ODB generally considers weight-loss drugs to be outside the scope of basic coverage unless they are treating a specific medical condition like diabetes. Even though Wegovy (the same drug as Ozempic but approved for weight loss) has been authorized in Canada, it is not currently listed as a general benefit on the ODB formulary for weight management alone. Long answer: Your doctor must submit a diagnosis
If you’re on the Ontario Disability Support Program (ODSP) and your doctor has prescribed Ozempic (semaglutide), coverage depends entirely on why you need it. However, because it is a "Limited Use" drug,
Short answer: ❌ No coverage for weight loss.
💊 Does ODSP cover Ozempic? Here’s what you need to know.
You cannot pay out-of-pocket for the "weight loss" version (Wegovy) and expect ODSP to cover Ozempic. The system checks the diagnosis code on the prescription.