Eligibility Forms for Drugs Funded by the NDFP

Eligibility forms specify for physicians and pharmacists the reimbursement criteria for intravenous cancer drugs, drug combinations and indications currently covered under the New Drug Funding Program (NDFP).

The NDFP provides reimbursement to more than 80 Cancer Care Ontario partner hospitals for intravenous cancer drugs that have been approved for coverage and are administered on site. Private clinics, individuals and retail pharmacies do not qualify for reimbursement through this program.

Eligibility forms must be completely filled out and submitted by the prescribing physician before treatment begins. Completed eligibility forms and supportive documentation, if applicable, must be submitted to Cancer Care Ontario according to the published submission deadlines and policies.

DRUG Indication/Eligibility Form
Bevacizumab
Bortezomib
Clodronate
Docetaxel
Epirubicin
Fludarabine
Gemcitabine
Interferon
Irinotecan
Liposomal Anthracyclines
Liposomal Doxorubicin
Liposomal Doxorubicin
Nab-Paclitaxel
Oxaliplatin
Paclitaxel
Pamidronate
Panitumumab
Pemetrexed
Porfimer
Raltitrexed
Rituximab (Rituxan)
Strontium-89
Topotecan
Trastuzumab (Herceptin)
Vinorelbine
Zolendronic Acid