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ontario regulation 301/02

made under the

ontario drug benefit act

Made: March 20, 2002
Filed: October 31, 2002
Printed in The Ontario Gazette: November 16, 2002

Amending O. Reg. 201/96

(General)

Note: Since the end of 2001, Ontario Regulation 201/96 has been amended by Ontario Regulations 64/02 and 214/04.  Previous amendments are listed in the Table of Regulations published in The Ontario Gazette dated January 19, 2001.

1. Section 18 of Ontario Regulation 201/96 is revoked and the following substituted:

18. (1) If an eligible person is entitled to receive drug benefits under the Ontario Works Act, 1997, the Minister is only required to pay under the Act for the quantity of a listed drug product supplied for the person at one time that is sufficient for a 35-day course of treatment.

(2) If an eligible person will be leaving Ontario for a period of at least 100 consecutive days within six months after the day a listed drug product is supplied for the person, the Minister is only required to pay under the Act for the quantity of the product supplied for the person at one time that is sufficient for a 100-day course of treatment.

(3) The Minister is only required to pay under the Act for the quantity of a listed drug product supplied for an eligible person, other than a person mentioned in subsection (1) or (2), at one time that is sufficient for a 30-day course of treatment if the product supplied is a product other than insulin and if the product supplied has not been supplied for the person within the previous 12-month period.

(4) Despite subsection (3), the Minister is required to pay for the quantity of a listed drug product described in that subsection that is sufficient for a 100-day course of treatment if, in the opinion of the person dispensing the product, the person will not be able to obtain a further supply of the product at the end of a 30-day course of treatment.

(5) The Minister is only required to pay under the Act for the quantity of a listed drug product supplied for an eligible person, other than a person mentioned in subsection (1) or (2), at one time that is sufficient for a 100-day course of treatment if the listed drug product supplied is a product other than one mentioned in subsection (3).

(6) The following rule applies for the purposes of subsections (2), (4) and (5):

1. If a listed drug product is supplied for a person who is part of the eligible class of persons designated under section 3 and if, by supplying a 100-day course of treatment of the product, the last day of the course of treatment would be more than 30 days after the end of the period for which the person is eligible, the Minister is only required under the Act to pay for the quantity of the listed drug product sufficient for a course of treatment that ends 30 days after the end of the period for which the person is eligible.

46/02