Eligibility Criteria

Pharmacy Eligibility

To be eligible to submit claims under the ONPP, a pharmacy operator (also referred to in this document as a “participating pharmacy”) must meet the following requirements:

• Have a valid HNS Subscription Agreement with the ministry; and
• Provide naloxone kits within the physical premises of the pharmacy

Pharmacists are expected to use their professional judgement when distributing naloxone kits and providing training as appropriate.

Recipient Eligibility

The following individuals may receive eligible services (defined below) under the ONPP from participating pharmacies (“eligible individuals”):

• an individual who is either at-risk of currently using opioids, or is a past opioid user at-risk of returning to opioid use, or
• a family member or friend, or other person in a position to assist, an at-risk individual described above.

The individual does not need to be insured under the Ontario Health Insurance Plan (OHIP) or a recipient of the Ontario Drug Benefit (ODB) program.

Eligible Services

Subject to the Exclusions and Restrictions below, a participating pharmacy may provide the following services (“eligible services”) to eligible individuals at the physical premises of the pharmacy.

• up to 2 naloxone kits (i.e., 4 doses) per day, along with appropriate training on how to use the kits.

There is no cost to eligible individuals who receive eligible services under the ONPP.