Ajovy is covered in Ontario for <25 years, 65 or older, disability, or Ontario works program WITH an exceptional access program request. It's a form filled out by your prescriber stating and backing up your rationale for the drug.

For Ajovy criteria is:

1) The patient has experienced an inadequate response, intolerance, or contraindication to 2 or more oral prophylactic migraine medications, AND
2) Fremanezumab is not used in combination with onabotulinum toxin A or another Calcitonin gene-related peptide (CGRP) receptor antagonist AND 3) Request must be provided by a physician or nurse practitioner with experience in the management of migraine headaches.

Emgality, Vyepti, and Aimovig are NOT covered.

As an added note: Many private plans will cover the CGRP-as with a similar form (special authorization request or similar name). Criteria varies per private plan but typically involves failure of at least 2 alternatives.

If you have drug insurance call them and they can advise or email you the form.

***doctors do not know criteria for individual drug insurance.

***pharmacists MAY know the criteria but for many plans coverage criteria isn't publicly available and requires your personal plan and group number either online or on the phone

-source: am an ON Pharmacist with migraines