Eligibility
Low Income Drug Program
This Program is a new expansion to NLPDP, beginning January 31, 2007. The Program is for low-income individuals with the following annual income cut-offs:
- Individuals $19 000 or less
- Couples (no children) $21 000 or less
- Families (children under 18) $30 000 or less
There is a full chart listing income levels and co-pays available online.
Applications should be filled as soon as possible and sent to the NLPDP Low Income Drug Program offices. If you lived in NL in January 2007, the application was mailed to you.
Income Support Program
Provides prescription drug coverage for individuals eligible for coverage under the Department of Human Resources and Employment; these individuals are covered for six months after they go off income assistance, if they leave the program for employment. This Program also covers some identified individuals who receive assistance due to their high prescription drug costs.
Seniors Drug Subsidy Program
This Program covers NL residents who are 65 or older and receiving the federal Guaranteed Income Supplement and register for Old Age Security benefits.
Fees
Low Income Drug Program
Co-pays for this program are based on income and range from 20-70%. You will be required to pay at least 20% of prescription costs.
Coverage
Low Income Support Program
Covers 30 to 80% of the cost of most prescription drugs.
Income Support Program
Covers 100% of the drug ingredient cost, up to a 10% mark-up where the ingredient costs exceed $30 and a maximum dispensing fee of $6.50. Remaining costs are the responsibility of the patient.
Seniors Drug Subsidy Program
This Program covers the ingredient costs for identified benefits only. Any remaining costs are paid by the individual as a co-pay.
Coverage of Ostomy Supplies
The Ostomy Subsidy Program provides some coverage of ostomy supplies for senior citizens. To qualify, you must by 65 or older, a resident of NL, and receiving OAS and GIS.
If qualified for the OSP, the government will reimburse 75% of the cost of the following items:
- skin barriers
- adhesive disks and gaskets
- powders, cleansers and deodorants
- night drainage kits
- all colostomy, ileostomy and urinary pouches
- irrigation equipment
The first time you submit receipts, include a note from your doctor or nurse outlining your need for the benefits of this program. Your seniors’ drug plan number should always be included with your receipts.
Benefit Limitations
Certain drugs have had their use restricted to particular age groups or indications and some drugs require Special Authorization. Special Authorization means that you must apply for coverage.
Reasonable Based Pricing
Under this initiative, certain categories of drugs have a set maximum allowable cost; this means that within a category of drugs, the reimbursement or coverage will be capped at the cost of the lowest-priced generic or brand within that category.
Contact Information
NLPDP - Low Income Drug Program
PO Box 510
Stephenville, NL
A2N 3B4
Toll-free phone: 1 888 859 3535
Toll-free fax: 1 888 272 2444
Email: LIDPinfo@gov.nl.ca
Ostomy Subsidy Program
Newfoundland and Labrador Prescription Drug Program
PO Box 8070, Postal Station A
St. John’s, NL
A1B 4A6
Phone: (709) 753 3615
Toll Free in NL: 1 888 724 7760
Fax: (709) 739 2929
Senior Citizens’ Plan
Newfoundland and Labrador Prescription Drug Program
PO Box 8070, Postal Station A
St. John’s, NL
A1B 4A6
Phone: (709) 753 3615
Fax: (709) 739 2929
Forms and Links
Eligibility criteria
Low-Income Applications
