Ontario Ministry of Health and Long-Term Care — Exceptional Access Program (EAP) (Ontario Drug Benefit) fax number

Fax destination details

Department

Exceptional Access Program (EAP) - Delivery and Eligibility Review Branch, Health Programs and Delivery Division

Purpose

Submit requests for unlisted drug products via the Exceptional Access Program. Fax the Request for an Unlisted Drug Product – Exceptional Access Program (EAP) form and supporting documentation to the MOH at 416-327-7526 (toll-free 1-866-811-9908) or mail to the Drug Programs Delivery Branch.

Form

Request for an Unlisted Drug Product – Exceptional Access Program (EAP) Form — Request for an Unlisted Drug Product – Exceptional Access Program (EAP)

Address

3rd Floor, 5700 Yonge Street, Toronto, ON M2M 4K5

Voice phone

416-327-8109 or 1-866-811-9893

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Complete all sections (prescriber, patient, drug, diagnosis, current/previous medications, clinical information). Include supporting medical data and rationale. Fax to 416-327-7526 or toll-free 1-866-811-9908, or mail to 5700 Yonge Street, 3rd Floor, Toronto ON M2M 4K5.

Official form instructions are published as a downloadable file on the organization's website.