A Guide to Understanding the Trillium Drug Program Table of Contents

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Ministry of Health

A Guide to Understanding the

Trillium Drug Program

Table of Contents

1 – About the Program 3

1.1 What is the Trillium Drug Program (TDP)? 3

1.2 What drug products does the TDP cover? 3

1.3 How do I make sure the TDP covers my prescription drugs?3

1.4 Will the TDP cover any prescription drugs that are not listed on the Ontario Drug Benefit (ODB) Formulary?3

1.5 How does the TDP work with other government programs that pay for prescription drugs?4

1.6 Does the TDP work with other insurance I have that pays for prescription drugs?4

2 – Joining the Program 4

2.1 Who can apply? 4

2.2 How to apply?5

2.3 What is a “Household” for the purposes of the TDP?5

2.4 Who is considered financially independent under the TDP?6

2.5 How do I provide my income information?6

2.6 When to apply and what is the deadline to apply for the TDP?7

2.6.1 Choose Your Enrolment Start Date Carefully8

2.7 What is the deadline to submit receipts for reimbursement through the TDP?8

2.8 Why do I have to report my private medical insurance?8

2.9 Do I get any credit for paying for private medical insurance?9

2.10 What could delay my TDP enrolment?9

3 – After you are Enrolled10

3.1 What costs will I pay under the TDP?10

3.2 When do I pay my TDP deductible?10

3.3 How is my deductible calculated if I join part-way through the TDP program year?11

3.4 How do I pay the TDP deductible?11

3.5 What happens if I do not pay the full quarterly deductible?12

3.6 How do I remove a household member from my TDP household?12

3.7 How is my deductible calculated if a household member is removed part-way through the TDPprogram year?13

3.8 Are there limits to the amount of drugs I can get at one time through the TDP?13

3.9 Do I need to submit any prescription receipts to the TDP?13

3.10 How to submit prescription receipts and what prescription drug receipts will the TDP accept?14

3.11 What if I have lost my prescription drug receipts?14

3.12 Can I claim payment from the TDP for prescription drugs that are not fully covered by myinsurance plan?14

3.13 How do I get reimbursed if I overpay my quarterly or annual deductible under the TDP?14

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4 – Continuing your TDP Coverage15

4.1 Do I have to reapply for TDP benefits each year?15

4.2 How do I get my TDP deductible re-assessed if my household’s income has changed during the TDP program year?15

4.3 What if our household address / membership information changes during the TDPprogram year?17

4.4 What if someone in my household becomes financially independent during the TDP program year?17

4.5 What if my household’s other insurance coverage changes during the TDP program year?17

4.6 How to end my household enrolment in the TDP?18

5 – Contact Us18

Appendix A – TDP Annual Deductible Table20

Appendix B – Deductible for households with income over $100,00024

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1 – About the Program

1.1 What is the Trillium Drug Program (TDP)?

The Trillium Drug Program (TDP) pays for eligible prescription drugs covered under the Ontario Drug Benefit

(ODB) program, for residents of Ontario who:

• Are between the ages of 25 and 64 years of age, or are 24 years of age and under and have a private

plan

• Have a valid Ontario Health number, and

• Spend a large part (approximately 4% or more) of their net income on prescription drug costs.

The program year runs from August 1 to July 31 of the next calendar year. See Section 2.1 and 2.2 for more

details about who can apply and how to apply.

TDP households are required to pay a set amount, out of pocket, towards their prescription drug costs, called

a deductible. For more information on the TDP deductible, see Section 3.1.

1.2 What drug products does the TDP cover?

The TDP helps pay for approved prescription drugs listed on the Ontario Drug Benefit (ODB) Formulary. This

list covers about 5,000 prescription drugs and other products, including:

• Limited-use drug products. These include drugs that are covered only under special medical

circumstances. When you’re prescribed one of these drugs, your prescriber confirms that your

circumstances require treatment with a Limited Use drug by writing a three-digit code, called the Reason

for Use code, on your prescription. If you are not sure if the drugs you are taking are Limited Use drugs,

please talk to your prescriber.

• Some nutritional products and diabetic testing agents. These and any other over-the-counter

products must be prescribed by your physician or nurse practitioner and dispensed by a pharmacist or a

registered dispensing physician.

Important: To qualify for funding under the TDP, your prescription drugs must be:

• Listed on the ODB Formulary or be eligible for funding through the Exceptional Access Program (EAP),

and

• Prescribed by a physician or nurse practitioner, and

• Dispensed in an Ontario pharmacy or by a registered dispensing physician

1.3 How do I make sure the TDP covers my prescription drugs?

We strongly recommend that you always consult your healthcare professional before you get your

prescription(s) filled. They can confirm if the drugs you’re prescribed are covered under the ODB program.

For a list of covered prescription drugs, go to ontario.ca/DrugBenefit or consult with your pharmacist to

confirm that your prescription drugs are eligible for coverage under the ODB program before your prescription

is dispensed.

1.4 Will the TDP cover any prescription drugs that are not listed on the Ontario Drug

Benefit (ODB) Formulary?

The TDP may cover a prescription drug not listed on the ODB Formulary through the Exceptional Access

Program (EAP). Your physician or nurse practitioner must make a written request to the EAP on your behalf.

Requests are reviewed on a case by case basis. Not all requests are approved.

For this reason, we strongly recommend you get prior approval from the EAP before you have your

prescription filled. Your prescription will only be reimbursed if the EAP has approved it.

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Important: For more information regarding your EAP request, have your physician or nurse practitioner

contact the Exceptional Access Program.

If your EAP request is approved, your EAP coverage will start and end on a specific date. If you need to

continue your treatment longer, ask your physician or nurse practitioner to submit a request for renewal at

least six (6) weeks ahead of the expiry date.

For more information about the EAP: Please check with your physician or nurse practitioner. They can

refer to Part VIII of the ODB Formulary for more details.

1.5 How does the TDP work with other government programs that pay for prescription

drugs?

The TDP provides drug benefits to Ontario residents who are not already enrolled in the ODB, as:

• Children and youth 24 years of age and under who are not covered by a private plan (OHIP+)

• Seniors (people aged 65 or over)

• Eligible Home and Community Care recipients

• Long-Term Care Home residents

• Home for Special Care or Community Home for Opportunity residents

• Ontario Works recipients

• Ontario Disability Support Program recipients

The government’s Health Network System (HNS) tracks which type of ODB coverage your household

members receive.

1.6 Does the TDP work with other insurance I have that pays for prescription drugs?

The TDP works with other medical insurance your household may have to help pay your eligible drug costs.

The TDP will provide coverage after you have used all other sources of insurance, and after you have spent a

certain amount out-of-pocket on eligible prescription drugs. This amount is called a deductible. See Section

3.4 for more details.

Other insurance includes:

• Insurance provided at work or school

• Any other private insurance you are paying for

2 – Joining the Program

2.1 Who can apply?

You can apply to the TDP if:

• You are between the ages of 25 and 64, or are 24 years of age and under and have a private plan, and

• Your household spends a large portion (approximately 4% or more) of its net income on prescription

drugs, and

• You have a valid Ontario Health number, and

• Your household does not have any insurance plan(s) that covers all of your household’s prescription

drug costs.

The TDP is not meant to replace insurance plans at work or school, private insurance plans, or other drug

benefits provided by the province, as outlined in Section 1.5.

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2.2 How to apply?

You can apply online by completing the ‘Trillium Drug Program Application’ form. This form is available on

the ministry’s website at: https://forms.ontariodrugbenefit.ca and can be submitted electronically to the TDP

for processing. No mailing is required if you are submitting your application online.

To avoid unnecessary delays and ensure timely processing, complete your application form online. The

ministry’s online form will guide you through the application process to ensure all the information required for

enrolment are completed before submission.

If you are not able to complete the application online, you can contact the TDP at 416-642-3038 (Toronto

area) or 1-800-575-5386 (outside Toronto) to have a paper copy of the application form mailed to you. If you

are completing the paper application form, you will need to mail your original signed application form to the

TDP at the following address:

Trillium Drug Program

Ministry of Health

PO Box 337, Station D

Etobicoke ON M9A 4X3

All household members who meet the definition of a household member for the purposes of the TDP must be

included in the TDP application (see Section 2.3) and all household members 18 years of age or older must

sign the application form and provide the CRA consent (see Section 2.5 for details).

2.3 What is a “Household” for the purposes of the TDP?

Enrolment in the TDP is based on a “household.” A household can be a single person; a couple who are

spouses of one another; or two (2) or more people who share a residence, have a family relationship and are

dependent on each other for support.

For the purposes of the TDP, the following people are included in the definition of a household, whether or not

they require prescription drug benefits, have an existing private insurance plan, or reside outside the province

of Ontario:

• A single person living alone

• Two persons who are spouses of one another. "Spouses" are:

• Two persons who are married to one another,

• Two persons living together in a conjugal relationship outside of marriage who have cohabited for

at least one year,

• Two persons living in a conjugal relationship outside marriage who are together the parents of a

child, or

• Two persons living in a conjugal relationship outside marriage who have entered into a cohabitation

agreement under Section 53 of the Family Law Act

• Two or more persons who live together if at least one of them is a parent, grandparent or the legal

guardian of the other, and one of them is dependent for support on the other, including:

• Parents* and their children, including those under 25 years of age who are eligible for OHIP+

(provided that they live together** and one is dependent on the other for support)

• Grandparents* and their grandchildren, including those under 25 years of age who are eligible for

OHIP+ (provided that they live together** and one is dependent on the other for support)

*Note: parents and grandparents include step-parents, step-grandparents, parents-in-law, and

grandparents-in-law, if the parents or grandparents, as the case may be, are spouses of one

another (see definition above) and one of them is a parent, grandparent or guardian of a child or

grandchild living with them.

**Note: the requirement to live together does not apply where the person is a student and depends on their

parent/grandparent/legal guardian for support and elects to be part of the same household as their

parent/grandparent/legal guardian.

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Important: All household members who live with you, including seniors and family members without an

Ontario Health number, must be included on the TDP application. The only exception is a family member

(other than your spouse) becomes financially independent and does not depend on others for support. Please

see Section 2.4 to learn more about this exception.

2.4 Who is considered financially independent under the TDP?

Household members are considered financially independent, if they:

• Are self-supporting, and

• Pay market-value rent and their own living expenses, and

• Do not rely on family members living in the same home for financial support , and

• Do not financially support other family members living in the same home.

Do not include household members who are financially independent in your household application to the

TDP. They can apply separately for their own TDP benefits.

Important: If a household member becomes financially independent after you join the TDP, you must notify

the TDP. Please see Section 4.4 of this guide.

2.5 How do I provide my income information?

All household members included on your TDP application who are 18 years of age and older, including those

eligible for OHIP+, must consent to the disclosure of their income information from the Canada

Revenue Agency (CRA) to the Ministry (“CRA consent”). Please see the Section "Signature -

Declaration and Consent for CRA to release my Income Information to the Ministry of Health" on the

TDP application form. This allows the TDP to verify your household’s net income with the CRA and calculate

your household’s deductible, which is the quickest and simplest way to enroll and stay enrolled each year.

Household members who do not file an income tax return annually still need to sign this section, as CRA

consent is required by the TDP in order to be enrolled.

What if CRA cannot confirm your income?

If we are unable to confirm household income from the CRA, then you will be required to annually provide

complete income documentation from the previous taxation year. For example, for program year 2024-2025

you need to provide proof of your 2023 taxation year income.

For the purposes of the TDP, acceptable proof of income includes one or more of the following:

• Notice of Assessment (NOA) issued by the CRA. This is the form that the CRA sends to all taxpayers

after processing their tax returns which shows net income;

• A copy of the T1 General (pages 1-8) or T1 Special Tax Form with the disclosure section signed;

• Foreign government documentation equivalent to the Canadian NOA;

• Record of employment (ROE) Form;

• For self-employed people: a letter on company letterhead signed by your accountant or lawyer verifying

your gross annual income before expenses;

• For household members who are employed and have not filed an income tax return: copies of your

T4/T4A and T5 slips for each employer, or a letter from your employer(s) verifying your gross annual

income(s);

• For household members without any income: a letter declaring no income earned from any source for

the applicable taxation year, from January 1 to December 31, signed and dated by the individual making

the declaration;

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• Documents of any other sources of income, for example, Canada Pension Plan (CPP), Old Age Security

(OAS), short- or long-term disability payment documents. Note: Bank statements are not acceptable

documentation;

• GST/HST Notice of Determination (showing net income for both spouses if applicable);

• A letter from your employer confirming your salary;

• A T4E slip for household members who are receiving Employment Insurance (EI).

Please note:

• All proof-of-income documentation provided must be for the same taxation year.

• Submitted documents must state the income amount as well as the start and/or end date if applicable.

Submitting income documents together with your application

To submit the Trillium Drug Program application with supporting documentation (such as income documents),

you can either:

• submit the documents electronically using the ministry’s online application form available at:

https://forms.ontariodrugbenefit.ca. No mailing is required if you are submitting your application online.

• mail the documents to:

Trillium Drug Program

Ministry of Health

PO Box 337, Station D

Etobicoke ON M9A 4X3

Submitting income documents only

If your household provided the CRA consent but the Ministry is unable to verify the net income for one or

more household members, then proof of income documentation will be required in order to complete the

enrolment. To submit only the income documentation to the TDP, you can send the documents to the TDP by

mail (see address above), or by fax or email.

• TDP fax number: 416-642-3034

• TDP email address: [email protected]

When sending documents to the TDP, please include your TDP File Number (i.e., the 9-digit number that

starts with RA/RB) or your Ontario Health card number.

2.6 When to apply and what is the deadline to apply for the TDP?

The TDP is a yearly program that covers eligible ODB prescription drugs from August 1 to July 31 of the next

calendar year. To join in a specific program year, you can either submit your application online on the

ministry’s website at https://forms.ontariodrugbenefit.ca or mail your original signed application to the TDP.

All applications must be received by the TDP or postmarked by Canada Post on or before September 30 (that

is, two months after the end of the program year). All supporting documentation and prescription receipts

must be received by the TDP or postmarked by Canada Post on or before October 31 (that is, three months

after the end of the program year). Late submission will not be accepted.

For example, to apply for the program year August 1, 2024, to July 31, 2025, the deadline is September 30,

2025. To submit supporting documentation and prescription receipts for the program year August 1, 2024, to

July 31, 2025, the deadline is October 31, 2025. No exceptions will be made to this policy.

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2.6.1 Choose Your Enrolment Start Date Carefully

If this is your first time applying, you need to choose the date your TDP coverage will start.

We will adjust your deductible based on the number of days remaining in the program year. You may save

money if you choose the date of the first eligible prescription you have filled in the program year as your

Enrolment Start Date.

For example, let’s say your deductible is calculated as $1,000 for the entire program year. If you choose an

enrolment start date of February 1 (halfway through the program year), then your yearly deductible will be

reduced by half to $500.

Note: Any prescriptions filled prior to your Enrolment Start Date will not count towards your deductible and

will not be covered or reimbursed by the TDP.

If you are not sure what date to choose as your enrolment start date, you can leave it blank. Your application

will be put on hold until you contact the TDP and provide your enrolment start date. Note that once your TDP

enrolment has been confirmed, you will not be able to change your enrolment start date.

Tip: The chart below shows some suggestions for choosing your Enrolment Start Date.

If... Then start the TDP no later than:

You have already purchased prescriptions The date of your earliest eligible receipt (from August 1 of

the program year for which you are applying)

You are scheduled to begin drug therapy The date your prescription is filled

You are being discharged from hospital and have

a prescription to fill

The day you are released

Your eligibility for OHIP+ is ending The day you turn 25 years old

Your eligibility for Home and Community Care

(ODB) is ending

The day after your eligibility ends

Other insurance you had to cover your prescription

drugs is ending

The day after your other insurance coverage ends

2.7 What is the deadline to submit receipts for reimbursement through the TDP?

All prescription drug receipts, insurance statements, and other supporting documents must be received at the

TDP or postmarked by Canada Post no later than three months following the end of the program year (i.e. by

October 31). Late submissions will not be accepted. No exceptions will be made to this policy.

2.8 Why do I have to report my private medical insurance?

The TDP works with the coverage you receive from other insurance but does not duplicate it. You must report

all insurance (including health spending account) that provides prescription drug benefits to any or all of your

household members when you fill out your TDP application form. This includes insurance any household

member has at work or school, or through a private insurance plan.

Note: You do not need to provide information about drug benefits provided by the province as outlined in

Section 1.5. Once you are enrolled in TDP, you must report any changes to your insurance coverage.

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2.9 Do I get any credit for paying for private medical insurance?

Yes. If you or any member of your household pays for all or part of your private insurance, either monthly or

through a payroll deduction, then your household is eligible for a credit that counts toward your TDP

deductible. The credit equals the yearly cost of your insurance premiums up to:

• $100 for a single person

• $200 for a household of two (2) or more people

The TDP applies the credit to your household yearly deductible in equal quarterly amounts.

To receive this credit, you must send the TDP a letter each year from the insurance company to verify the

amount of the premiums paid. If a letter is not available, then you may send copies of cancelled cheques, pay

stubs, bank statements, or a tuition statement.

You can submit the private insurance premium information online using the ‘Updating Private Insurance for

Trillium Drug Program’ form available on the ministry’s website at https://forms.ontariodrugbenefit.ca or you

can send your documents to the TDP by mail, fax or email if you are not able to complete the online form (see

Section 5 for the TDP contact information).

2.10 What could delay my TDP enrolment?

The most common reasons your enrolment may be delayed are because your application is incomplete and/

or some information is missing. For example:

• Signature(s) are missing. Each person 18 years of age and over, including those eligible for OHIP+,

must sign the “Declaration and Consent for Canada Revenue Agency (CRA) to release my income

information to the Ministry of Health” section of the TDP application form.

• Your Social Insurance Number (SIN) is missing, for any of your household members 18 years of age

and over, including those eligible for OHIP+. The TDP must collect the SIN from all household members,

18 years of age and over, even if they do not file an income tax return. The TDP will only verify the

income of household members who are 19 years of age and over.

• Ontario Health number(s) are missing.

• You or another household member filed your taxes late so the TDP could not confirm your income with

the CRA and, therefore, you must submit paper proof of income, see Section 2.5 for more details.

• You missed the deadlines for enrolment and/or submitting receipts.

• You did not provide the required details about your private medical insurance.

• You did not provide the required legal document if someone other than a household member has signed

the application form (i.e. a substitute decision-maker).

Your enrolment into the TDP will only be confirmed after all required documentation is provided.

To avoid unnecessary delays and ensure timely processing, complete the online application form available

at: https://forms.ontariodrugbenefit.ca. The ministry’s online form will guide you through the application

process to ensure all the information required for enrolment are completed before submission.

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3 – After you are Enrolled

3.1 What costs will I pay under the TDP?

Before your TDP benefits start, you will be asked to pay a set amount, out of pocket, towards your

prescription drugs, called a deductible. The total amount of your deductible is based on your household’s

combined yearly net income (line 23600 of your CRA Notice of Assessment) and the number of people in

your household, including household members 18 years of age and older who are eligible for OHIP+. It

equals approximately 4% of your total household net income. To calculate your deductible, TDP uses your

income from the taxation year that is prior to the start of the program year. For example, for program year

2024-2025, TDP uses your 2023 taxation year income to calculate your deductible.

The chart in Appendix A shows a range of deductibles for all households with net yearly incomes under

$100,000. If your household’s income is more than $100,000, please see Appendix B.

The annual deductible described above is then divided into four (4) quarters. Once your eligible prescription

purchases equal the amount of your quarterly deductible, your TDP benefits begin for that quarter. At that

point, you will only pay up to $2 co-payment for each ODB eligible prescription drug until the start of the next

quarter.

Important

Households need to use their private insurance plan or any other third party provider assistance, before

obtaining benefits under the TDP. Any portion of your drug costs that may be covered under a private

insurance plan, by an employer or any other benefit program (e.g., drug cards, manufacturer discounts) is not

an allowable expense, i.e., it is not considered an out of pocket expense. Therefore, it cannot be counted

toward the payment of the household’s TDP deductible or be reimbursed if that deductible amount has been

exceeded. If your drug costs are covered under any of the above, it must be reported to the TDP.

3.2 When do I pay my TDP deductible?

The TDP program year is divided into four quarters, as follows:

1. First quarter – August, September, October

2. Second quarter – November, December, January

3. Third quarter – February, March, April

4. Fourth quarter – May, June, July

You begin to pay your deductible the first time you have an ODB eligible prescription drug purchased in each

quarter. You will pay a quarter of your annual TDP deductible in each quarter after your Enrolment Start Date.

However, in the quarter your enrolment begins, you may pay a reduced, pro-rated deductible that is based on

the number of days remaining in that quarter.

Example:

Yearly deductible: $1,000 (four equal payments of $250)

TDP enrolment start date: August 1

August 1: You will start to pay the first quarterly deductible payment of $250 every time you buy ODB

eligible prescription drugs. Your out-of-pocket costs are counted towards your quarterly deductible.

Once you have paid your $250 deductible for the first quarter, you will only pay up to $2 for each

eligible prescription through to the end of the first quarter (that is, October 31).

The process starts over again at the beginning of each new quarter, i.e., on November 1, February 1,

and May 1.

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3.3 How is my deductible calculated if I join part-way through the TDP program year?

If you are new to the TDP, you will need to choose the date when you want your TDP coverage to start (see

Section 2.6.1 on how to choose your Enrolment Start Date). Your first year’s deductible is adjusted to reflect

the number of days you are in the program from August 1 to July 31.

Example 1:

Let’s say you join on February 1, exactly half-way through the TDP program year. Your yearly deductible

would be $1,000 if you enrolled as of August 1. However, because you enrolled in the program halfway

through the program year (February 1), that amount will be reduced by half to $500. As there are only two

quarters remaining in the program year (February 1 to April 30; and May 1 to July 31), half of the $500

deductible ($250) will be payable each quarter.

Please see the table below for an illustration on how the deductible will be paid for this example.

Quarter AUG ─ OCT NOV ─ JAN FEB ─ APR MAY ─ JUL Total

Annual Deductible

(If enrolment starts on August 1)

$250 $250 $250 $250 $1,000

Pro-rated Deductible

(If enrolment starts on February 1)

$0 $0 $250 $250 $500

Example 2:

As a TDP household, you can choose to start your enrolment at any date during the program year between

August 1 to July 31. If you join the TDP part-way through a quarter, then you will pay a pro-rated deductible for

the quarter that you join and the full quarterly deductible for the remaining quarters.

Let’s say your yearly deductible is $1,000 based on your household’s total net income and you joined the

program on December 1, then you will only need to pay for two-thirds of the 2nd quarter deductible and the full

quarterly deductible for the 3rd and 4th quarters.

Quarter AUG ─ OCT NOV ─ JAN FEB ─ APR MAY ─ JUL Total

Annual Deductible

(If enrolment starts on August 1)

$250 $250 $250 $250 $1,000

Pro-rated Deductible

(If enrolment starts on February 1)

$0 $167 $250 $250 $667

Note: You can only claim prescriptions that were filled after your Enrolment Start Date. Other costs will not

count towards your TDP deductible or for reimbursement.

3.4 How do I pay the TDP deductible?

You pay your deductible by purchasing ODB eligible prescription drugs at the pharmacy. Your ODB approved

prescription drug purchases are tracked at the pharmacy through the government’s Health Network System.

If you have private insurance

• Prior to reaching your quarterly deductible: All prescription drug claims must be first submitted to

your private insurance, either by you or by the pharmacy. Once your prescription drug claim has been

processed by your private insurance, you should submit your prescription drug receipt, along with the

statement from your private insurance that tells you what they covered, to the TDP. The costs you paid

out-of-pocket (not covered by your private insurance) count toward your TDP deductible.

• After reaching your quarterly deductible: The TDP will pay your ODB eligible prescription costs. Your

pharmacy will be able to submit your claims electronically to the TDP until the end of the quarter.

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Please Note: Children and youth 24 years of age and under with an Ontario Health card number who are not

covered by a private plan are eligible for the ODB program through OHIP+, and receive ODB drug benefits at

no cost – with no co-payment or deductible. To learn more about OHIP+ please go to

https://www.ontario.ca/page/learn-about-ohip-plus

Tip: Show your Ontario Health number each time you buy prescription drug products and make sure your

pharmacist knows that you are registered with the Trillium Drug Program. This will ensure your pharmacist

knows when you have paid your deductible.

3.5 What happens if I do not pay the full quarterly deductible?

Any unpaid deductible in one quarter will be added to the next quarter's deductible. This ensures that your

yearly deductible is paid off by the end of the TDP program year.

3.6 How do I remove a household member from my TDP household?

You can request to be removed from your household if you are 18 years of age or older and have a valid

reason, such as:

• You are divorced or separated from your spouse due to a breakdown in marriage (you will need to

provide supporting documentation); or

• You previously lived in a conjugal relationship with your spouse outside of marriage and now no longer

living together or have a cohabitation agreement with that spouse under section 53 of the Family Law

Act; or

• You are a family member (who is not a spouse) and is no longer living with the household; or

• You are a family member (who is not a spouse) and are financially independent (please see Section 2.4

and Section 4.4 for details).

You can request the removal for another household member(s) only under the following conditions:

• The household member is deceased, and you are the family member/executor of the deceased

member; or

• The household member to be removed is a child under 18 years of age, and you are the parent or legal

guardian of the child.

A person cannot be removed from the TDP household if he or she:

• does not require drug benefits;

• has other available drug benefits;

• has significant income; or

• is eligible for other ODB benefits, for example OHIP+, or has turned 65 and is now a senior.

Please see Section 2.3 to see who should be included in a TDP household.

To request the removal of a household member from your TDP household, you need to complete the Request

to Remove a Household Member(s) from the Trillium Drug Program form, and explain the member’s

relationship to the household, and the reason for removal. You can find this form (including detailed

instructions) on the ministry’s website at: https://forms.ontariodrugbenefit.ca. If you are not able to complete

the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto)

for a paper version of this form.

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3.7 How is my deductible calculated if a household member is removed part-way

through the TDP program year?

If there is a valid reason for removal of a household part-way through the program year, as noted in Section

3.6, the household member’s benefits will be ended. However, the household’s deductible will not be

recalculated until the following program year unless the household qualifies for an in-year reassessment of

their deductible in accordance with Ontario Regulation 201/96 made under the Ontario Drug Benefit Act (see

Section 4.2 for more information).

3.8 Are there limits to the amount of drugs I can get at one time through the TDP?

From August 1 to February 20: You can receive up to a 100-day supply of your ODB drugs at one time.

From February 21 to July 31: Each day in this period, the 100-day drug supply drops by one. For example,

the day supply limit for a prescription filled for you on February 21 will be 99. That number is reduced by 1

with each passing day.

This is to make sure your household pays the full yearly deductible it owes by the end of the year. Amounts

are tracked by the government’s Health Network System when you go to any pharmacy.

3.9 Do I need to submit any prescription receipts to the TDP?

The answer is ‘yes’ only in these two (2) situations:

1. If you have prescriptions filled between your Enrolment Start Date and the date you receive your

confirmation letter from the TDP.

• If your receipts are eligible for TDP reimbursement, they will be counted first toward your deductible.

Once you have met your quarterly deductible, the TDP will reimburse you for any out of pocket ODB

eligible drug costs incurred during the quarter over and above your deductible.

2. If you have other insurance, drug cards, manufacturer discounts or any other third party that

covers some of your prescription drug costs.

To receive your TDP drug benefits, you must provide us with either:

• Your official prescription receipts showing the amount paid by the insurer(s), or

• A copy of the private insurance drug statement together with a copy of your ODB eligible prescription

receipts, or

• Other proofs showing the amount paid by the third party.

If your pharmacy submits your prescription drug purchase electronically to your insurance company, you must

send the TDP your official prescription receipts issued by the pharmacy (see Section 3.10 for more

information). Do not submit cash register or credit card receipts or invoices from a doctor’s office or clinic.

To see if your prescription drug product(s) are covered, please visit the ministry website at:

https://www.ontario.ca/check-medication-coverage/.

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3.10 How to submit prescription receipts and what prescription drug receipts will the

TDP accept?

You can submit the prescription receipts online using the ministry’s ‘Ontario Drug Benefit Program Receipt

Submission Form’ available on the ministry’s website at https://forms.ontariodrugbenefit.ca or you can mail

your receipts to the TDP.

The TDP requires you to submit official individual prescription drug receipts issued by the pharmacy and

signed by the pharmacist. If these are not available, you may submit the Patient Medical Expense Report

(PMER) produced by the pharmacy as proof of your prescription receipts document. This report must have a

pharmacy stamp and pharmacist’s signature. It must contain the same information as an official individual

prescription receipt, as follows:

• Recipient name and address • Prescription (Rx number) • Quantity

• Total amount paid • Drug cost • Dispensing fee

• Dispensing date • Pharmacy name/address • Prescriber's name

• Drug Name • Drug or Product Identification Number (DIN/PIN)

Along with your receipts, you need to include a note with the patient's Ontario Health number(s) or your TDP

File Number (the 9-digit number that starts with RA/RB), which is provided in the confirmation letter you

receive after you enroll.

Important: We can only process your prescription receipts:

• If they provide detailed cost and dispensing fee information

• If they are not altered in any way

• If they are received before October 31 receipt deadline (see Section 2.6)

3.11 What if I have lost my prescription drug receipts?

If you cannot provide original prescription receipts, you can submit a Patient Medical Expense Report (PMER)

prepared by your pharmacy. These documents must have:

• The same information as the official prescription receipt, and

• The pharmacy stamp and the pharmacist’s signature

See Section 3.10 for more information.

3.12 Can I claim payment from the TDP for prescription drugs that are not fully

covered by my insurance plan?

If you have met your quarterly deductible, the TDP will pay for drugs that are eligible under the ODB. If you

have not met your quarterly deductible and your private insurance doesn’t cover 100% of the drug cost,

please send your receipts to the TDP in order for your out-of-pocket ODB-eligible drug costs to be counted

towards your deductible and/or reimbursed.

3.13 How do I get reimbursed if I overpay my quarterly or annual deductible under the

TDP?

The TDP will mail reimbursement cheque to the address you provided on your application. In most cases, the

cheque is made payable to the household member whose name is on the prescription receipt.

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4 – Continuing your TDP Coverage

4.1 Do I have to reapply for TDP benefits each year?

We will send you a letter before the start of the next program year. The letter will let you know if:

• Your household is renewed, or if

• Your household can be renewed only if you provide further information

Your household’s enrolment in TDP will be automatically renewed each year unless:

• Any household member 19 years of age or older did not file an income tax return for the previous tax

year.

• Any household member turning 18 years of age before August 1 has not provided the Declaration and

Consent signature for the Canada Revenue Agency (CRA) to release income information to the Ministry

of Health (i.e., “CRA Consent”) required to enroll.

• Your household has not contributed toward your yearly deductible for the previous two (2) TDP program

years.

• All household members are now 65 years of age or older.

Note:

• If your household loses its TDP benefits at any time, the TDP will no longer verify your household

member’s income through the Canada Revenue Agency. To reapply to the program, you will need to

complete a new application form.

• If you have any household members who will be turning 18 prior to the start of the renewal program

year, they will need to provide their Social Insurance Number (SIN) and the Declaration and CRA

consent signature to the TDP by using the ‘Trillium Drug Program Application Signature Request’

form. You can find this form on the ministry’s website at https://forms.ontariodrugbenefit.ca and submit

the form to the TDP electronically for processing. If you are not able to complete the form online, please

contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper

version of this form.

4.2 How do I get my TDP deductible re-assessed if my household’s income has

changed during the TDP program year?

Before the new program year starts every August, the TDP confirms your household’s annual net income for

the previous taxation year, and, based on this income, determines the deductible you will pay. We use your

latest tax return(s) to do this.

You may request an in-year re-assessment of your TDP deductible, if your household’s annual net income

changes by 10% or more in either of the two taxation years that overlap with the program year. For example,

for the 2024-25 TDP program year the annual deductible is based on your household’s 2023 annual net

income. If your household’s annual net income in 2024 or 2025 is at least 10% lower than your income in

2023, you may apply to have your deductible recalculated based on the lower 2024 or 2025 income.

Please note:

Deductibles that are changed as a result of an in-year re-assessment will apply to the beginning of the quarter

in which the deductible reassessment has taken place (the “deductible reassessment effective date”). The

new deductible will not be retroactive to previous quarters; you will be responsible for paying the deductible

that was in effect during those quarters.

Once the taxation year used for the deductible reassessment is complete, the ministry will verify the income

information you supplied for the in-year re-assessment request. The ministry will confirm your household’s

income by contacting the Canada Revenue Agency (CRA). The ministry’s collection of this information from

the CRA is based on the household’s consent that is provided in the original TDP application.

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When a household applies to the TDP for an in-year re-assessment, it is essential that all information

contained in the in-year re-assessment application, including the new income information, is true and

accurate. If you subsequently learn that information contained in the deductible reassessment application is

no longer accurate, then you must immediately notify the Ministry.

To apply for a re-assessment of your annual deductible, you can complete the ‘Annual Deductible

Re-Assessment Request’ form available on the ministry’s website at https://forms.ontariodrugbenefit.ca and

submit the form along with the supporting documentation to the TDP electronically for processing. If you are

not able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or

1-800-575-5386 (outside Toronto) for a paper version of this form.

Documentation requirements:

In order for the TDP to recalculate your household’s annual deductible, the ministry requires you to submit

documentation to support the income information provided in the Annual Deductible Re-assessment form for

all the members 18 years of age and older who have experienced an income change. If you do not provide

the necessary supporting documentation, your request for re-assessment will be delayed or denied.

No documentation is required if the member’s annual net income has not changed. The TDP will use the

member’s previous taxation year’s annual net income to calculate the household’s combined income for the

annual deductible re-assessment request.

To avoid delays, please ensure you submit the correct taxation year income documentation – it must be for

the taxation year you have selected to use for your household’s annual deductible re-assessment request.

For example, if you have selected to be re-assessed for the 2024-25 program year based on 2024 taxation

year income, then 2024 taxation year income documentation is required. If you have selected to be re-

assessed based on 2025 taxation year income, then 2025 taxation year income documentation is required.

The following are the acceptable proof of income documents you can submit:

• Notice of Assessment (NOA) issued by the Canada Revenue Agency (CRA) if it is available.

Other proof of income documentation if the NOA is not available:

If you received Employment Insurance (EI): Provide all of the following:

• Record of Employment (ROE)

• Final paystub

• EI letter showing coverage start date, end date, and weekly benefit amount

• Social Assistance statements (if applicable).

If you received employment income: Provide all of the following:

• A letter from your employer(s) on company letterhead showing your first day of work (if it was within the

taxation year that is being used for the re-assessment), and income or salary for the year

• If self-employed, provide an equivalent letter from your accountant declaring your income.

If you received pension income, worker’s compensation or disability payments: Provide all of the

following:

• A letter from WSIB, CPP, OAS, and Guaranteed Income Supplement showing the monthly benefit

amount

• Letters on company letterhead detailing coverage period and benefit amount for work pensions and

short/long term disability.

If you received other income: Provide all of the following:

• investment income, dividends or interest received, and RRSP withdrawals should all be detailed in a

letter from the financial institution.

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Please note:

• All proof-of-income documentation provided must be for the same taxation year for all household

members.

• Submitted documents must state the income amount as well as the start and/or end date if applicable.

4.3 What if our household address / membership information changes during the TDP

program year?

You can update your household address and/or submit additional household member information to the TDP

using the ‘Notification of Change of Information for Trillium Drug Program’ form. You can find this form

on the ministry’s website at https://forms.ontariodrugbenefit.ca and submit the form to the TDP electronically

for processing. If you are not able to complete the form online, please contact the TDP at 416-642-3038

(Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

Please include your name, address, and the TDP File Number (the 9-digit number that starts with RA/RB).

4.4 What if someone in my household becomes financially independent during the

TDP program year?

If a member of your household becomes financially independent, that member (if they are 18 years of age or

older) can request their own removal from your household by completing the ‘Request to Remove a

Household Member(s) from the Trillium Drug Program’ form. This form (including detailed instructions) is

available on the ministry’s website at: https://forms.ontariodrugbenefit.ca and can be submitted electronically

to the TDP for processing. If the member is not able to complete the form online, please contact the TDP at

416-642-3038 (Toronto area) or 1-800-575-5386 (outside Toronto) for a paper version of this form.

Note: Once a household member has been removed, they will no longer be eligible for TDP benefits as part

of your household. Your household’s yearly deductible will not be recalculated until the beginning of the next

TDP program year (starting on August 1) unless the household qualifies for an in-year reassessment of their

deductible in accordance with Ontario Regulation 201/96 made under the Ontario Drug Benefit Act (see

Section 4.2 for more information).

4.5 What if my household’s other insurance coverage changes during the TDP

program year?

You can provide changes to your household’s private insurance information and supporting documentation to

the TDP using the ministry’s ‘Updating Private Insurance for Trillium Drug Program’ form. You can find

this form on the ministry’s website at https://forms.ontariodrugbenefit.ca and submit the form to the TDP

electronically for processing. If you are not able to complete the form online, please submit the required

documents by mail, fax or email (see Section 5 for the TDP contact information). When sending documents

to the TDP, please include your TDP File Number (i.e., the 9-digit number that starts with RA/RB) or your

Ontario Health card number.

You can use this form to make the following changes to your household’s private drug insurance coverage:

• Add a new private drug insurance policy or provide missing private drug insurance policy information to

the TDP.

• Update an existing private drug insurance policy, including:

• provide the TDP with your household’s annual insurance premium information in order to receive a

deductible credit;

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• provide the TDP with information about your household member(s) who have reached their annual

or life-time insurance maximum; and

• provide the TDP with information about drugs not covered by your insurance plan that are eligible for

coverage by the TDP (i.e., drug exclusion information).

• Remove a private drug insurance policy if your private drug insurance coverage has ended or will be

ending soon.

Documentation requirements:

You will need to provide a letter from the insurance company as set out below:

If you start new insurance coverage:

• The letter must state the date your coverage starts, who is covered under the policy and the policy

number.

If your insurance coverage ends:

• The letter must state the date your coverage ends.

If you reach the maximum amount your insurance will pay:

• The letter must state the date you reached the maximum and the date your coverage will be reinstated

(if applicable).

If your insurance does not cover the drug(s) you need:

• The letter must state the name of the drug(s) not covered.

If you pay a fee for your insurance, called a premium:

• The letter must state the dollar amount you pay each year.

4.6 How to end my household enrolment in the TDP?

The TDP household contact person can end the enrolment for the entire household if all members in the

household no longer require TDP coverage.

You can submit the TDP termination request to the TDP using the ‘Request to End the Household

Enrolment in the Trillium Drug Program’ form. You can find this form on the ministry’s website at

https://forms.ontariodrugbenefit.ca and submit the form to the TDP electronically for processing. If you are not

able to complete the form online, please contact the TDP at 416-642-3038 (Toronto area) or 1-800-575-5386

(outside Toronto) for a paper version of this form.

5 – Contact Us

For questions about the TDP or changes that may affect your household:

Go Online

For program information:

www.ontario.ca/TrilliumDrugProgram

To submit an application, supporting documentation and prescription receipts:

https://forms.ontariodrugbenefit.ca

By Phone

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Hours: Monday to Friday, 9am to 5pm (excluding holidays):

• 416-642-3038 (in Toronto calling area)

• 1-800-575-5386 (toll-free)

• 1-800-387-5559 (TTY)

Please have your TDP File Number (the 9-digit number that starts with RA/RB) or your Ontario Health card

number available when you call.

By Mail

Please include your TDP File Number (the 9-digit number that starts with RA/RB). *

Trillium Drug Program (TDP)

Ministry of Health

PO Box 337, Station D

Etobicoke ON M9A 4X3

By Email

Please include your TDP File Number (the 9-digit number that starts with RA/RB). *

• [email protected]

By Fax

Please include your TDP File Number (the 9-digit number that starts with RA/RB).*

• 416-642-3034

* If you do not know your TDP File Number, you may include your Ontario Health number

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Appendix A - TDP Annual Deductible Table

Use this table to find out your deductible.

Household Annual Net Income ($) Annual

Deductible ($)Annual

Deductible ($)

Annual Deductible ($)

Single Family of two Family of three Family over three

up to 6,500 350 250 200 150

6,501 – 7,000 353 253 203 153

7,001 – 7,500 359 259 209 159

7,501 – 8,000 364 264 214 164

8,001 – 8,500 370 270 220 170

8,501 – 9,000 376 276 226 176

9,001 – 9,500 381 281 231 181

9,501 – 10,000 387 287 237 187

10,001 – 10,500 393 293 243 193

10,501 – 11,000 398 298 248 198

11,001 – 11,500 404 304 254 204

11,501 – 12,000 410 310 260 210

12,001 – 12,500 415 315 265 215

12,501 – 13,000 421 321 271 221

13,001 – 13,500 427 327 277 227

13,501 – 14,000 432 332 282 232

14,001 – 14,500 438 338 288 238

14,501 – 15,000 444 344 294 244

15,001 – 15,500 449 349 299 249

15,501 – 16,000 455 355 305 255

16,001 – 16,500 461 361 311 261

16,501 – 17,000 466 366 316 266

17,001 – 17,500 472 372 322 272

17,501 – 18,000 478 378 328 278

18,001 – 18,500 483 383 333 283

18,501 – 19,000 489 389 339 289

19,001 – 19,500 495 395 345 295

19,501 – 20,000 500 400 350 300

20,001 – 20,500 511 411 361 311

20,501 – 21,000 534 434 384 334

21,001 – 21,500 556 456 406 356

21,501 – 22,000 579 479 429 379

22,001 – 22,500 601 501 451 401

22,501 – 23,000 624 524 474 424

23,001 – 23,500 646 546 496 446

23,501 – 24,000 669 569 519 469

24,001 – 24,500 691 591 541 491

24,501 – 25,000 714 614 564 514

25,001 – 25,500 736 636 586 536

25,501 – 26,000 759 659 609 559

26,001 – 26,500 781 681 631 581

26,501 – 27,000 804 704 654 604

27,001 – 27,500 826 726 676 626

27,501 – 28,000 849 749 699 649

28,001 – 28,500 871 771 721 671

28,501 – 29,000 894 794 744 694

29,001 – 29,500 916 816 766 716

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Household Annual Net Income ($) Annual

Deductible ($)Annual

Deductible ($)

Annual Deductible ($)

Single Family of two Family of three Family over three

29,501 – 30,000 939 839 789 739

30,001 – 30,500 961 861 811 761

30,501 – 31,000 984 884 834 784

31,001 – 31,500 1,006 906 856 806

31,501 – 32,000 1,029 929 879 829

32,001 – 32,500 1,051 951 901 851

32,501 – 33,000 1,074 974 924 874

33,001 – 33,500 1,096 996 946 896

33,501 – 34,000 1,119 1,019 969 919

34,001 – 34,500 1,141 1,041 991 941

34,501 – 35,000 1,164 1,064 1,014 964

35,001 – 35,500 1,186 1,086 1,036 986

35,501 – 36,000 1,209 1,109 1,059 1,009

36,001 – 36,500 1,231 1,131 1,081 1,031

36,501 – 37,000 1,254 1,154 1,104 1,054

37,001 – 37,500 1,276 1,176 1,126 1,076

37,501 – 38,000 1,299 1,199 1,149 1,099

38,001 – 38,500 1,321 1,221 1,171 1,121

38,501 – 39,000 1,344 1,244 1,194 1,144

39,001 – 39,500 1,366 1,266 1,216 1,166

39,501 – 40,000 1,389 1,289 1,239 1,189

40,001 – 40,500 1,411 1,311 1,261 1,211

40,501 – 41,000 1,434 1,334 1,284 1,234

41,001 – 41,500 1,456 1,356 1,306 1,256

41,501 – 42,000 1,479 1,379 1,329 1,279

42,001 – 42,500 1,501 1,401 1,351 1,301

42,501 – 43,000 1,524 1,424 1,374 1,324

43,001 – 43,500 1,546 1,446 1,396 1,346

43,501 – 44,000 1,569 1,469 1,419 1,369

44,001 – 44,500 1,591 1,491 1,441 1,391

44,501 – 45,000 1,614 1,514 1,464 1,414

45,001 – 45,500 1,636 1,536 1,486 1,436

45,501 – 46,000 1,659 1,559 1,509 1,459

46,001 – 46,500 1,681 1,581 1,531 1,481

46,501 – 47,000 1,704 1,604 1,554 1,504

47,001 – 47,500 1,726 1,626 1,576 1,526

47,501 – 48,000 1,749 1,649 1,599 1,549

48,001 – 48,500 1,771 1,671 1,621 1,571

48,501 – 49,000 1,794 1,694 1,644 1,594

49,001 – 49,500 1,816 1,716 1,666 1,616

49,501 – 50,000 1,839 1,739 1,689 1,639

50,001 – 50,500 1,861 1,761 1,711 1,661

50,501 – 51,000 1,884 1,784 1,734 1,684

51,001 – 51,500 1,906 1,806 1,756 1,706

51,501 – 52,000 1,929 1,829 1,779 1,729

52,001 – 52,500 1,951 1,851 1,801 1,751

52,501 – 53,000 1,974 1,874 1,824 1,774

53,001 – 53,500 1,996 1,896 1,846 1,796

53,501 – 54,000 2,019 1,919 1,869 1,819

54,001 – 54,500 2,041 1,941 1,891 1,841

54,501 – 55,000 2,064 1,964 1,914 1,864

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Household Annual Net Income ($) Annual

Deductible ($)Annual

Deductible ($)

Annual Deductible ($)

Single Family of two Family of three Family over three

55,001 – 55,500 2,086 1,986 1,936 1,886

55,501 – 56,000 2,109 2,009 1,959 1,909

56,001 – 56,500 2,131 2,031 1,981 1,931

56,501 – 57,000 2,154 2,054 2,004 1,954

57,001 – 57,500 2,176 2,076 2,026 1,976

57,501 – 58,000 2,199 2,099 2,049 1,999

58,001 – 58,500 2,221 2,121 2,071 2,021

58,501 – 59,000 2,244 2,144 2,094 2,044

59,001 – 59,500 2,266 2,166 2,116 2,066

59,501 – 60,000 2,289 2,189 2,139 2,089

60,001 – 60,500 2,311 2,211 2,161 2,111

60,501 – 61,000 2,334 2,234 2,184 2,134

61,001 – 61,500 2,356 2,256 2,206 2,156

61,501 – 62,000 2,379 2,279 2,229 2,179

62,001 – 62,500 2,401 2,301 2,251 2,201

62,501 – 63,000 2,424 2,324 2,274 2,224

63,001 – 63,500 2,446 2,346 2,296 2,246

63,501 – 64,000 2,469 2,369 2,319 2,269

64,001 – 64,500 2,491 2,391 2,341 2,291

64,501 – 65,000 2,514 2,414 2,364 2,314

65,001 – 65,500 2,536 2,436 2,386 2,336

65,501 – 66,000 2,559 2,459 2,409 2,359

66,001 – 66,500 2,581 2,481 2,431 2,381

66,501 – 67,000 2,604 2,504 2,454 2,404

67,001 – 67,500 2,626 2,526 2,476 2,426

67,501 – 68,000 2,649 2,549 2,499 2,449

68,001 – 68,500 2,671 2,571 2,521 2,471

68,501 – 69,000 2,694 2,594 2,544 2,494

69,001 – 69,500 2,716 2,616 2,566 2,516

69,501 – 70,000 2,739 2,639 2,589 2,539

70,001 – 70,500 2,761 2,661 2,611 2,561

70,501 – 71,000 2,784 2,684 2,634 2,584

71,001 – 71,500 2,806 2,706 2,656 2,606

71,501 – 72,000 2,829 2,729 2,679 2,629

72,001 – 72,500 2,851 2,751 2,701 2,651

72,501 – 73,000 2,874 2,774 2,724 2,674

73,001 – 73,500 2,896 2,796 2,746 2,696

73,501 – 74,000 2,919 2,819 2,769 2,719

74,001 – 74,500 2,941 2,841 2,791 2,741

74,501 – 75,000 2,964 2,864 2,814 2,764

75,001 – 75,500 2,986 2,886 2,836 2,786

75,501 – 76,000 3,009 2,909 2,859 2,809

76,001 – 76,500 3,031 2,931 2,881 2,831

76,501 – 77,000 3,054 2,954 2,904 2,854

77,001 – 77,500 3,076 2,976 2,926 2,876

77,501 – 78,000 3,099 2,999 2,949 2,899

78,001 – 78,500 3,121 3,021 2,971 2,921

78,501 – 79,000 3,144 3,044 2,994 2,944

79,001 – 79,500 3,166 3,066 3,016 2,966

79,501 – 80,000 3,189 3,089 3,039 2,989

80,001 – 80,500 3,211 3,111 3,061 3,011

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Household Annual Net Income ($) Annual

Deductible ($)Annual

Deductible ($)

Annual Deductible ($)

Single Family of two Family of three Family over three

80,501 – 81,000 3,234 3,134 3,084 3,044

81,001 – 81,500 3,256 3,156 3,106 3,056

81,501 – 82,000 3,279 3,179 3,129 3,079

82,001 – 82,500 3,301 3,201 3,151 3,101

82,501 – 83,000 3,324 3,224 3,174 3,124

83,001 – 83,500 3,346 3,246 3,196 3,146

83,501 – 84,000 3,369 3,269 3,219 3,169

84,001 – 84,500 3,391 3,291 3,241 3,191

84,501 – 85,000 3,414 3,314 3,264 3,214

85,001 – 85,500 3,436 3,336 3,286 3,236

85,501 – 86,000 3,459 3,359 3,309 3,259

86,001 – 86,500 3,481 3,381 3,331 3,281

86,501 – 87,000 3,504 3,404 3,354 3,304

87,001 – 87,500 3,526 3,426 3,376 3,326

87,501 – 88,000 3,549 3,449 3,399 3,349

88,001 – 88,500 3,571 3,471 3,421 3,371

88,501 – 89,000 3,594 3,494 3,444 3,394

89,001 – 89,500 3,616 3,516 3,466 3,416

89,501 – 90,000 3,639 3,539 3,489 3,439

90,001 – 90,500 3,661 3,561 3,511 3,461

90,501 – 91,000 3,684 3,584 3,534 3,484

91,001 – 91,500 3,706 3,606 3,556 3,506

91,501 – 92,000 3,729 3,629 3,579 3,529

92,001 – 92,500 3,751 3,651 3,601 3,551

92,501 – 93,000 3,774 3,674 3,624 3,574

93,001 – 93,500 3,796 3,696 3,646 3,596

93,501 – 94,000 3,819 3,719 3,669 3,619

94,001 – 94,500 3,841 3,741 3,691 3,641

94,501 – 95,000 3,864 3,764 3,714 3,664

95,001 – 95,500 3,886 3,786 3,736 3,686

95,501 – 96,000 3,909 3,809 3,759 3,709

96,001 – 96,500 3,931 3,831 3,781 3,731

96,501 – 97,000 3,954 3,854 3,804 3,754

97,001 – 97,500 3,976 3,876 3,826 3,776

97,501 – 98,000 3,999 3,899 3,849 3,799

98,001 – 98,500 4,021 3,921 3,871 3,821

98,501 – 99,000 4,044 3,944 3,894 3,844

99,001 – 99,500 4,066 3,966 3,916 3,866

99,501 – 100,000 4,089 3,989 3,939 3,889

If your family’s income is more than $100,000 see Appendix B of the guide.

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Appendix B - Deductible for households with income over $100,000

For households with a yearly net income over $100,000

You can use the following formula to calculate your yearly TDP deductible:

Add all your household members’ net incomes to calculate the total household net income then:

1) Subtract $20,000 from this amount.

2) Multiply the result by 0.045.

3) Add $500 to the result.

4) Subtract the following based on the size of your household:

a) Single person......................................................................................................................... subtract $0

b) Household of two ............................................................................................................... subtract $100

c) Household of three ............................................................................................................ subtract $150

d) Household of four or more ................................................................................................. subtract $200

The remaining amount is your yearly deductible for the program year.

Example: Let’s say there are two (2) people in your household and your household’s yearly net income is

$130,000. Here’s how your yearly deductible is calculated.

1. Subtract $20,000 from your household net income:

$130,000 - $20,000 = $110,000

2. Multiply the result of Step 1 by 0.045:

$110,000 x 0.045 = $4,950

3. Add $500 to the result of Step 2:

$4,950 + $500 = $5,450

4. Subtract $100 from the result of Step 3:

$5,450 - $100 = $5,350 yearly deductible