Coverage Map

Learn About Your Coverage Options

#AccessForAll is our advocacy initiative to ensure equitable and universal access to diabetes devices for all Canadians, regardless of age. We aim to support the T1D community to increase both public and private coverage for advanced glucose monitors (Flash CGM and Continuous Glucose Monitors) and insulin pumps. We believe in patient choice and the importance of reducing out of pocket costs for these life changing and life saving devices.

Choose a province below to see coverage of diabetes tech and types of insulin in your province.

QC Qc BC C.-B. AB Alb. SK Sask. MB Man. ON Ont. NU Nt NT T.N.-O. YT Yn NL T.-N.-L. PEI Î.-P.-É. NB N.-B. NS N.-É.

Available Devices in Alberta

In response to the public, the government will no longer be making changes to the Insulin Pump Therapy Program. The program will continue as it was designed, and the government commits to add access to the next generation of insulin pumps starting as soon as possible this year.

  • Coverage for insulin pumps is provided through Alberta’s Insulin Pump Therapy Program and patients must:
    • be a resident of Alberta who is eligible for coverage under the Alberta Health Care Insurance Plan.
    • be diagnosed with Type 1 diabetes or Type 3c diabetes and be under the care of a physician or nurse practitioner for the condition.
    • meet and continue to meet the clinical criteria as set out in the Insulin Pump Therapy Program – Clinical Criteria.
    • complete a pre-insulin pump information session.
    • complete an insulin pump therapy (IPT) education plan.
    • attend at least one assessment at a Clinic
    • complete a Patient Responsibility Form.
    • have a completed an Eligibility Notification Form.
    • have been sent a Confirmation Letter.
    • participate in required reviews and ongoing clinical monitoring by the Clinic Team.
    • have not been sent a Letter of Clinical Ineligibility.
    • have not been sent a Discontinuation Letter.
  • Additional Information: https://www.albertahealthservices.ca/services/page8548.aspx

No coverage

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid Acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Short-Acting regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Insuin Lispro/lispro protamine
suspension (Humalog Mix25)
Humalog Mix50

Available Devices in British Columbia

No coverage

  • Coverage for CGM requires Special Authority approval under British Columbia’s Limited Coverage Drug Program. Patients must:
    • Be 2 years of age or older with diabetes mellitus (DM) and requires multiple daily injections of insulin or insulin pump therapy as part of intensive insulin therapy;
    • Agree (or their family or caregiver agrees) to comprehensive and age-appropriate diabetes education by an interdisciplinary diabetes healthcare team and commits to regular follow-up; and
    • Have one of the following:
      • Hypoglycemia unawareness
      • Frequent and unpredictable hypoglycemic episodes
      • Unpredictable swings in blood glucose
      • At least one functional restriction that inhibits the use of blood glucose test strips (BGTS) (e.g., dexterity, mobility, dermatological conditions)
      • An occupation where hypoglycemia presents a significant safety risk (e.g., pilots, air traffic controllers, commercial drivers)either hypoglycemia unawareness, frequent and unpredictable hypoglycemic episodes, unpredictable swings in blood glucose, at least one functional restriction that inhibits the use of blood glucose test strips (BGTS) (e.g., dexterity, mobility, dermatological conditions)
  • Additional Information: https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/dexcom-g6-continuous-glucose-monitor
Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid Acting Aspart (NovoRapid) *
Glulisine (Apidra) *
Lispro (Humalog) *
Short-Acting regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Biphasic Insulin Aspart (NovoMix 30) *
Insuin Lispro/lispro protamine suspension (Humalog Mix25) *
Humalog Mix50 *

 

* BC Pharmacare provides partial reimbursement for rapid-acting insulins and patients must pay the difference

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Short-acting Pork regular insulin (Hypurin Regular)
Long-acting basal analogues Detemir (Levemir)
Pork isophane insulin (Hypurin NPH)

Note: Exceptional coverage may occur for people whose endocrinologist/ diabetes physician determines these two systems are unsuitable for them.

Available Devices in Manitoba

  • Insulin pumps are provided at no cost to eligible children and youth under the age of 18. It is anticipated that eligibility criteria for individuals aged 18-25 will be similar to what is used for the Manitoba Pediatric Insulin Pump (MPIP) Program. This includes a diagnosis of Type 1 diabetes and an endocrinologist’s recommendation for the use of an insulin pump.
  • Additional Information: https://sharedhealthmb.ca/files/glucose-insulin-coverage-faq.pdf
Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Lispro (biosimilar) (Admelog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)
Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)

Available Devices in New Brunswick

No Coverage

No Coverage

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (biosimilar) (Admelog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)

 

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Lispro (Humalog)
Long-acting basal analogues Detemir (Levemir)

Available Devices in Newfoundland and Labrador

  • Insulin Pumps are covered in Newfoundland and Labrador under the province’s Insulin Pump Program. Individuals must:
    • have been diagnosed with type 1 Diabetes Mellitus (T1DM);
    • be a resident of Newfoundland and Labrador;
    • have a valid medical care plan (MCP) card;
    • meet medical eligibility criteria; and
    • if 18 years of age or older, meet the requirements for financial assistance through an income testing criteria.
  • Additional Information: https://www.easternhealth.ca/find-health-care/nlipp/

No coverage

No coverage

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)

 

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Lispro (Humalog)
Long-acting basal analogues Detemir (Levemir)

Available Devices in Nova Scotia

  • Insulin Pumps are covered in Nova Scotia under the province’s Insulin Pump Program for individuals who are 25 years of age and under and meet certain financial and medical criteria.
  • Additional Information: https://novascotia.ca/DHW/NSIPP/

No Coverage

No Coverage

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)

 

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Lispro (Humalog) *
Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)

 

* NS: Humalog – full benefit for children under 18

Available Devices in Northwest Territories

All ages are covered, as well as 100% of the pump supplies.

No coverage

No coverage

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)
Glargine U300 (Toujeo)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)
Humalog Mix50

 

Available Devices in Nunuvut

All ages are covered, as well as 100% of the pump supplies.

No coverage

No coverage

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)
Glargine U300 (Toujeo)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)
Humalog Mix50

 

Available Devices in Ontario

  • Flash GMs are covered in Ontario under the Ontario Drug Benefit for those who are:
    • 65 years old (or are 24 years of age or younger and not covered by a private insurance plan)
    • Living in a:
      • long-term care home
      • home for special care
      • Community Home for Opportunity
    • Receiving professional home and community care services
    • Receiving benefits from Ontario Works or Ontario Disability Support Program; or
    • Enrolled in the Trillium Drug Program
  • Additional Information: https://www.ontario.ca/page/get-coverage-prescription-drugs

 

  • Starting March 14, 2022, eligible Ontarians with type 1 diabetes can receive Assistive Devices Program funding for a continuous glucose monitor and the related supplies. Eligible individuals include those with type 1 diabetes who are at risk of severe hypoglycemia or who are unable to recognize, or communicate about, symptoms of hypoglycemia.
  • Additional Information: https://www.health.gov.on.ca/en/pro/programs/adp/memos/docs/CGM_QA.pdf
Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Glulisine (Apidra)
Lispro (Humalog)
Lispro (biosimilar) (Admelog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)
Glargine U300 (Toujeo)
Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Biphasic Insulin Aspart (NovoMix 30)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)

 

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)

Available Devices in Prince Edward Island

Funding assistance for glucose sensor systems are accepted through the P.E.I. Glucose Sensor Program, giving Islanders access to these devices at reduced costs through local pharmacies.

Eligibility criteria:

  • a permanent resident as defined by the Drug Cost Assistance Act
  • a valid PEI Health Card
  • Filed your most recent income tax return
  • Are diagnosed by a medical practitioner or nurse practitioner as having diabetes and
  • Are reliant on an insulin pump or multiple daily injections of insulin (i.e. 3 or more) to manage your diabetes and
  • Have a signed Special Authorization form from your medical practitioner, nurse practitioner or certified diabetes educator.

Funding assistance for glucose sensor systems are accepted through the P.E.I. Glucose Sensor Program, giving Islanders access to these devices at reduced costs through local pharmacies.

Eligibility criteria:

  • a permanent resident as defined by the Drug Cost Assistance Act
  • a valid PEI Health Card
  • Filed your most recent income tax return
  • Are diagnosed by a medical practitioner or nurse practitioner as having diabetes and
  • Are reliant on an insulin pump or multiple daily injections of insulin (i.e. 3 or more) to manage your diabetes and
  • Have a signed Special Authorization form from your medical practitioner, nurse practitioner or certified diabetes educator.
Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)

 

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)
Glargine U300 (Toujeo)

Available Devices in Quebec

  • Flash GMs are covered under Quebec’s RAMQ and authorization of payment is for adults aged 18 years and older who have at least 2 years of experience in self-managing their diabetes, who meet the following three criteria:
    • intensive insulin therapy
    • frequent or severe hypoglycemia problems
    • the necessity of glycemia self-monitoring a minimum of eight times per day
  • The RAMQ authorization form must be completed by the attending physician.
  • CGMs are covered under Quebec’s RAMQ for persons suffering from type 1 diabetes, age two or over, who fulfil one or more of the following criteria:
    • non-attainment of the value of glycated hemoglobin (HbA1c) adapted to the patient, despite optimal management of the disease; or
    • frequent episodes of hypoglycemia in the last year, despite compliance with a glycemia management plan; or
    • inability to recognize or signal hypoglycemia symptoms.
  • The initial request is authorized for a period of 6 months to assess the capacity of patients to use Dexcom G6™ and wear the sensor. Requests for continuation of treatment are authorized for a maximum period of 12 months if the person shows optimum use of Dexcom G6™, i.e. at least 70 % of the time.
Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Lispro (biosimilar) (Admelog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine U300 (Toujeo)
Degludec (Tresiba)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Humalog Mix50

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Long-acting basal analogues Glargine (biosimilar) (Basaglar)
Pre-mixed insulins Biphasic Insulin Aspart (NovoMix 30)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)

Available Devices in Saskatchewan

  • Coverage for insulin pumps is provided through Saskatchewan Aids to Independent Living (SAIL) Insulin Pump Program. Patients must:
    • Have Type 1 diabetes
    • Have demonstrated ongoing and sustained practice of the following diabetes-related activities for a minimum of six (6) months prior to the insulin pump trial:
      • Blood glucose monitoring four (4) or more times per day or appropriate use of a continuous glucose monitor (CGM) or flash glucose monitor (FGM).
      • Consistency and accuracy in carbohydrate counting.
      • Ability to self-assess and take action based on blood glucose results.
      • Safe and effective management of hypoglycemia and hyperglycemia.
      • A commitment to long-term diabetes follow-up through regular assessments occurring at least annually (every 12 months) by a diabetes education program, diabetes educator, or their authorized specialist physician.
      • Expressed expectations or goals that are in line with potential outcomes of pump therapy.
      • No unacceptable burden of diabetic ketoacidosis as determined by a diabetes education program, diabetes educator, or their authorized specialist physician.
      • Consistent A1C monitoring at an interval of approximately every three (3) to six (6) months, or as deemed appropriate by a diabetes education program, diabetes educator, or their authorized specialist physician.
      • Those age less than 18 years:
        • There is demonstration of involvement of a parent(s)/guardian(s) in diabetes management. Child/youth/family has completed all steps of the Saskatchewan Pediatric Endocrinology and diabetes education program: Insulin Pump Assessment Process, part of which includes attendance at a Pediatric Diabetes Pump Information Session or completion of the Is Pump Therapy for Me? online modules and quiz.
      • Those age 18 years and older:
        • There is demonstration of involvement of the candidate in their personal diabetes management. The candidate has been assessed through the SHA diabetes education program process.
        • If a SHA diabetes education program requires further assistance and deems it appropriate for their client, patients may access educational training through a SAIL registered provider who is a Certified Diabetes Educator (CDE)® and also a certified insulin pump trainer, if instructed to do so by an SHA diabetes program.
    • Have completed an insulin pump trial for a period of up to three months that confirms:
      • the medical appropriateness of the insulin pump; and,
      • an adequate level of knowledge to operate the pump, and that safe use of the device has been achieved as confirmed by a certified pump trainer to the satisfaction of the SHA diabetes educator or the SAIL Registered CDE®.
    • Have eligibility certified by an SHA diabetes educator or a SAIL Registered CDE® who contributed to the assessment of the criteria; and,
      • For those less than 18 years:
        • Have eligibility certified by a pediatric licensed specialist (pediatric endocrinologist or pediatrician with diabetes expertise) who is associated with a SHA pediatric diabetes education program and has experience with insulin pump management in children.
      • For those aged 18 years and over:
        • Have eligibility certified by an endocrinologist or another specialist physician who is associated with a SHA diabetes education program and who has experience with insulin pump management.
    • Have completed the Client (parent/caregiver) Consent and Authorization and Confirmation of Responsibility on the Insulin Pump Program application.
  • Additional Information: https://www.saskatchewan.ca/residents/health/accessing-health-care-services/insulin-pump-program

For additional Information, click here  (only NR available)

For additional Information, click here (only NR available)

Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Glulisine (Apidra)
Lispro (Humalog)
Short-Acting Lispro (biosimilar) (Admelog)
Regular (Humulin-R, Novolin ge Toronto)
Pork regular insulin (Hypurin Regular)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Detemir (Levemir)
Glargine (Lantus)
Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pork isophane insulin (Hypurin NPH)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)

Available Devices in Yukon

All ages are covered, as well as 100% of the pump supplies.

  • Flash GMs are covered for all ages and physicians will apply for coverage on behalf of their patients
  • If adults prefer to use a continuous glucose monitor, they can apply their flash glucose monitor coverage to the cost of a continuous glucose monitor.
  • To be eligible for the benefit, Yukoners with type 1 diabetes who meet the benefit criteria must register with the Chronic Disease and Disability Benefit program at 867-667-5092. People aged 65 or older can contact the Pharmacare program at 867-667-5403.
  • CGMs are covered for all ages and physicians will apply for coverage on behalf of their patients
  • If adults prefer to use a flash glucose monitor, they can apply their continuous glucose monitor coverage to the cost of a flash glucose monitor.
  • To be eligible for the benefit, Yukoners with type 1 diabetes who meet the benefit criteria must register with the Chronic Disease and Disability Benefit program at 867-667-5092. People aged 65 or older can contact the Pharmacare program at 867-667-5403.
Listed

Can be prescribed by any doctor. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Aspart (NovoRapid)
Glulisine (Apidra)
Lispro (Humalog)
Short-Acting Regular (Humulin-R, Novolin ge Toronto)
Pork regular insulin (Hypurin Regular)
Basal Insulins Intermediate acting – regular NPH (Humulin-N, Novolin GE NPH)
Long-acting basal analogues Glargine (biosimilar) (Basaglar)
Degludec (Tresiba)
Pork isophane insulin (Hypurin NPH)
Pre-Mixed Insultin Premixed Regular-NPH (Humulin 30/70, Novolin 30/70-40/60-50/50)
Biphasic Insulin Aspart (NovoMix 30)
Insuin Lispro/lispro protamine suspension (Humalog Mix25)
Humalog Mix50

 

 

Restricted

Only available to those who meet eligibility criteria and receive prior approval from the drug benefit plan. Cost will be fully or partially covered according to the terms of the public drug plan.

Rapid-acting Lispro (Humalog)
Long-acting basal analogues Detemir (Levemir)

No details are available for this province or territory