You cannot pay out-of-pocket for the "weight loss" version (Wegovy) and expect ODSP to cover Ozempic. The system checks the diagnosis code on the prescription.
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It is prescribed for weight loss (even if you have obesity or other metabolic issues). The Ontario Drug Benefit (ODB) does not list Ozempic for weight management. You cannot pay out-of-pocket for the "weight loss"
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If you’re on the Ontario Disability Support Program (ODSP) and your doctor has prescribed Ozempic (semaglutide), coverage depends entirely on why you need it.
Always double-check with your pharmacist before filling. 💊
If you are diabetic and get denied, file an internal review immediately. Sometimes the pharmacy uses the wrong DIN (drug identification number).