Your trusted guide to understanding insulin access, costs, and support in Richmond Hill and beyond
For many people living with type 1 or type 2 diabetes, insulin is a daily necessity. But understanding how to access it—and whether it’s covered by OHIP—can be confusing, especially with the rising costs of medications in Canada.
At Viva Health Pharmacy, we’re committed to helping patients navigate the Ontario health system and reduce out-of-pocket costs wherever possible. If you’re wondering about insulin coverage in Ontario, this guide explains everything you need to know in 2025.
What is Insulin and Who Needs It?
Insulin is a hormone that helps regulate blood sugar (glucose) levels. People with:
- Type 1 diabetes must take insulin every day.
- Type 2 diabetes may eventually require insulin if oral medications aren’t enough.
- Gestational diabetes (in some cases) may also need insulin temporarily.
Insulin can be delivered via injections or insulin pumps, and there are many types available—some fast-acting, some long-acting.
Is Insulin Covered by OHIP in Ontario?
Yes—insulin is covered in Ontario, but coverage depends on:
- Your eligibility for the Ontario Drug Benefit (ODB) program
- Whether your prescribed insulin is listed on the Ontario Formulary
Let’s break it down
Who Qualifies for Insulin Coverage Through OHIP?
You must qualify for one of the following programs:
| Eligible Group | Program |
|---|---|
| Seniors 65+ | ODB |
| Low-income Ontarians | Trillium Drug Program |
| Ontario Works recipients | ODB |
| ODSP (Disability support) recipients | ODB |
| Residents in long-term care | ODB |
| Home care recipients | ODB |
If you don’t fall into one of these groups, OHIP will not directly cover insulin—but you may still qualify through the Trillium Drug Program (more on this below).
Which Insulin Brands Are Covered by OHIP?
Here are some of the most common insulin products currently covered under OHIP (Ontario Drug Benefit Formulary):
Rapid-Acting Insulin
- NovoRapid (insulin aspart)
- Humalog (insulin lispro)
- Apidra (insulin glulisine)
Short-Acting (Regular) Insulin
- Humulin R
- Novolin ge Toronto
Intermediate-Acting (NPH) Insulin
- Humulin N
- Novolin ge NPH
Long-Acting Insulin
- Lantus (insulin glargine)
- Basaglar (biosimilar to Lantus)
- Levemir (insulin detemir)
- Toujeo (concentrated glargine)
Premixed Insulin
- Humulin 30/70
- Novolin 30/70
- NovoMix 30
📌 Note: Coverage may depend on specific use cases (e.g., initiation, switching brands, or prior failure on other insulins).
Brand-Name vs. Biosimilar Insulin
Ontario is encouraging the use of biosimilar insulins—like Basaglar (biosimilar to Lantus)—which cost less and offer the same efficacy.
In some cases, patients may be asked to switch from a brand-name insulin to a biosimilar version to continue receiving OHIP coverage.
At Viva Health Pharmacy, we’ll guide you through any brand transitions and answer your questions.
What If You’re Not Covered?
If you don’t qualify for OHIP-funded programs, you have other options:
1. Trillium Drug Program (TDP)
Ideal for Ontarians with high drug costs relative to income. You pay a deductible based on your household income.
👉 Learn more or apply for Trillium
2. Private Insurance
If you have group benefits (e.g., from work), many plans cover insulin products with partial or full reimbursement.
3. Manufacturer Assistance Programs
Some brands offer discount cards or support programs to reduce your out-of-pocket costs.
FAQ: Insulin Coverage in Ontario
Can I get insulin for free in Ontario?
If you’re eligible for the Ontario Drug Benefit or Trillium, yes—insulin can be free or have a small co-pay.
Is insulin covered for children or teens?
Yes—if the child is listed under a parent’s ODB, Trillium, or other qualifying program.
Can pharmacists help me apply for Trillium?
Yes! Our team at Viva Health Pharmacy will walk you through the process.
Are insulin pumps or supplies covered too?
Insulin pumps and some supplies may be covered through the Assistive Devices Program (ADP) or private plans. Ask us for details.
Helpful Resources
Questions About Your Insulin?
We’re here to help—whether you’re just starting insulin or trying to reduce costs.
📍 Visit us at: 9580 Yonge St, Unit 5, Richmond Hill
📞 Call: 905-237-5567
📩 Email: info@vivahealthpharmacy.com
