Under what condition can nutrition products be covered by the Ontario Drug Benefit (ODB)?

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Nutrition products can be covered by the Ontario Drug Benefit (ODB) when they are prescribed as the sole source of nutrition for the patient. This criterion emphasizes the necessity of such products in specific medical circumstances, particularly for patients unable to obtain sufficient nutrients through standard dietary means. In cases where individuals have severe medical conditions or disorders that impair their ability to consume, digest, or absorb nutrients, the coverage exists to ensure they receive essential nutrition through prescribed products.

The other conditions listed, although they may seem relevant, do not meet the specific criteria set by the ODB. For example, over-the-counter availability does not qualify a nutrition product for coverage, as the ODB is concerned primarily with medically necessary items rather than what can be purchased freely without a prescription. Similarly, the requirement that the products be purchased from a specific pharmacy or covered by any form of health insurance does not influence the eligibility for ODB coverage, as the focus is on the medical necessity of the nutrition as dictated by a healthcare professional's prescription rather than the purchasing circumstances or the type of insurance coverage.

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