Your Questions, Answered
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Iron Deficiency Anemia (IDA): Occurs when your iron stores are fully depleted and your Hemoglobin (Hb) levels have dropped below the normal threshold (< 120 g/L for females; < 130 g/L for males).
Non-Anemic Iron Deficiency (NAID): Occurs when your iron stores (Ferritin) are severely depleted, causing chronic symptoms like debilitating fatigue and brain fog, but your Hemoglobin levels remain technically "normal."
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Ontario public funding (such as ODB, OHIP+, or the Trillium Drug Program) carries very strict coverage conditions. Public funding only covers Iron Deficiency Anemia (IDA). It does not cover Non-Anemic Iron Deficiency (NAID).
To qualify for public coverage of premium formulations like Monoferric under Limited Use (LU) Code 610, a specialist must confirm you meet the following clinical criteria:
A documented diagnosis of IDA confirmed by recent lab results.
A documented failure to respond to oral iron therapy, severe oral iron intolerance, or a clear medical contraindication to oral iron after an adequate trial (minimum of 4 weeks).
No history of hemochromatosis or other iron storage disorders.
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If you have symptomatic NAID, the following options may be available to you:
Extended Health Benefits (Private Insurance): Most private insurers (Sun Life, Canada Life, Manulife, etc.) frequently cover premium, single-dose formulations like Monoferric for symptomatic patients. Our specialists provide the precise prescription text required by insurers.
Out-of-Pocket Private Pay: If you do not have private insurance, you can choose to pay for the medication directly at the pharmacy.
Even with extended health benefits, the patient is required to pay the infusion cost of the medication which varies but typically can range from $150 to $200. If you are paying out of pocket, this cost is in addition to the cost of the medication itself.
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Monoferric typically costs approximately $0.50 per milligram (subject to standard pharmacy dispensing fees and current wholesale pricing). Because it is a premium, high-dose formulation, a typical 1,000 mg dose runs around $500, but it completely restores your iron stores in a single visit rather than requiring multiple clinic trips.
In comparison, iron supplements, may cost around $30/month or $360/year.
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Yes. For residents of the Niagara Region, the Ontario at Home Program offers specialized coverage. This program can cover the cost of IV iron medications for eligible patients, providing a vital safety net even for individuals who lack private health insurance or cannot afford out-of-pocket private pay options. During your virtual specialist assessment, our team will verify your eligibility and directly facilitate entry into this regional program if you qualify.
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By utilizing formulations like Monoferric, the treatment is highly efficient. Once your virtual specialist assessment is complete and your prescription is sent to a local clinic, the infusion itself is completed in a single visit.
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Yes. Our clinic is designed to be completely virtual. This allows us to serve patients across the entire province of Ontario. This also helps patients minimize travel costs and time away from their employment.
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Yes. To ensure your medical safety and ensure that your lab values are properly monitored, all intravenous iron treatments in Ontario require a formal prescription and referral from a licensed healthcare provider (such as a Family Physician, Walk-In Doctor, or Nurse Practitioner).
Click here for our referral form.