Ontario Exceptional Access Program (EAP)

Quick answer: how do I get a drug through EAP?

• You must be eligible for the Ontario Drug Benefit (65+, OHIP+, Trillium, social assistance, long-term care or home care).
• Your doctor or nurse practitioner submits an EAP request with clinical details, usually through the SADIE online portal or by fax.
• The ministry reviews it against published criteria and replies to the prescriber.
• If approved, the pharmacy bills ODB for the approved period; your normal ODB co-payment or Trillium deductible still applies.

EAP vs Limited Use codes

• Limited Use (LU) drugs are on the formulary with set criteria — the prescriber writes an LU code on the prescription and no request is needed.
• EAP is for drugs with no LU listing or when your situation falls outside LU criteria.
• Check a drug's status in the Ontario Drug Benefit Formulary before asking for EAP.

If the request is denied

• Ask your prescriber to resubmit with more clinical information (previous drugs tried, test results).
• Ask whether a covered alternative is suitable.
• Check private insurance, a manufacturer patient-support program or Trillium if you're not yet enrolled.

Frequently asked questions