Ontario Drug Benefit (ODB) Program : Application forms

Ready to apply to one of Ontario’s drug programs? You will find many of the forms and guidebooks you need right here.  You can open a form, fill it in on your screen and print it, or save a blank copy of the form to your computer.

Don't see a form you need? Talk to your doctor. For some programs, your doctor must complete the form for you..

TRILLIUM DRUG PROGRAM
3693-87

Application for Ontario Drug Benefits

Notice to Recipients of Ontario Drug Benefits

Mail completed Trillium Drug Program applications to:
Drug Benefit Programs – Trillium Drug Program
P.O. Box 337, Station D
Etobicoke ON M9A 4X3

Questions regarding the Trillium Drug Program application form or guide should be directed to:

In Toronto, call 416-642-3038
Toll-free: 1-800-575-5386 or
E-mail : trillium@ontariodrugbenefit.ca

S46850E-87

Trillium Drug Program Guide (25 pages)

4423-87

Notification for Change of Information for Trillium Drug Program

SENIORS’ CO-PAYMENT PROGRAM
3233-87

Co-payment Application for Seniors

Notice to Recipients of Ontario Drug Benefits

Mail completed Co-payment applications to:
Drug Benefit Programs – Seniors’ Co-Payment Program
P.O. Box 384, Station D
Etobicoke ON M9A 4X3

Questions regarding the Co-payment application form or guide should be directed to::
In Toronto, call 416-503-4586
Toll-free: 1-888-405-0405 or
E-mail : seniors@ontariodrugbenefit.ca

4247-87

”Guide” for the Co-payment Application for Seniors

INHERITED METABOLIC DISEASES PROGRAM
4551-87

Application and Consent for the Inherited Metabolic Diseases (IMD) Program

For More Information

Call ServiceOntario, Infoline at 1-866-532-3161
In Toronto, 416-314-5518
TTY 1-800-387-5559
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm