Long Term Illness

If you have certain long-term illnesses or disabilities, you may apply to join the Long Term Illness (LTI) Scheme and you will be supplied with a Long Term Illness Card (this card replaces the old LTI book). This card allows you to get drugs, medicines, and medical and surgical appliances directly related to the treatment of your illness, free of charge.  A core list of approved medicines and devices for each illness is available from the pharmacy and is also available on HSE’s website here.

The LTI Scheme does not depend on your income or other circumstances and is separate from the Medical Card Scheme and the GP Visit Card Scheme. 

If you already have a Medical Card, you are also eligible to apply for a Long Term Illness book.  Approved medicines and devices for the treatment of your Long Term Illness are exempt from the Medical Card Prescription levy (effective from December 1st 2013).

The illnesses currently covered by the LTI scheme are –

Acute Leukaemia
Intellectual Disability (referred to in legislation as “mental handicap”)
Cerebral Palsy
Mental Illness (in a person under 16)
Cystic Fibrosis
Multiple Sclerosis
Diabetes Insipidus
Muscular Dystrophies
Diabetes Mellitus (does not include gestational diabetes)
Spina Bifida
Conditions arising from the use of Thalidomide

How do I apply?

Application forms are available in the pharmacy or you can apply online at www.mylti.ie  Your doctor or consultant will sign the form to confirm your condition and list your medication.   At Fortune’s Pharmacy we can help you completing the form.

Express Registration

If you have just been diagnosed with diabetes mellitus, epilepsy, Parkinsonism or phenylketonuria (PKU), we can apply for express registration for you here in the pharmacy and make sure you have free access to your drugs and medicines straight away.   You will have 2 months to complete the normal application yourself.   Please contact us for further details.

I’ve been prescribed a medicine which is not on the core list

Medicines not on the list of approved medicines may be considered by the HSE for inclusion, on a case by case basis.  This will typically require a prescription from your hospital consultant.  Your consultant may have to submit clinical evidence to support inclusion.  We can make the application here in the pharmacy on your behalf and would expect to get a decision from the HSE within 3 working days.


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