Forms

Special authorization request form to be completed by your physician or diagnosing specialist.

Semaglutide Special Authorization Form

Some medications in the PEI Pharmacare Formulary are approved on a special authorization basis only. If your physician prescribes a drug in this category, you can submit a Standard Special Authorization Request form to have a medication considered for coverage.

Perennial Crop Development Program application form

Appendix B: Reimbursement for the Future Farmer Program: Business Risk Management Component
 

Appendix C: Application form for On-Farm Project sub program of the Future Farmer Program

Appendix D: Application form for the Future Farmer Program: Training Component

Claim form for Future Farmer Program