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Standard Special Authorization Request Form
2024-04-02
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.
Ankylosing Spondylitis Special Authorization Request Form
2024-04-02
Special authorization request form to be completed by your physician or diagnosing specialist.
Crohn's Disease Special Authorization Request Form
2024-04-02
Special authorization request form to be completed by your physician or diagnosing specialist.
Enfuvirtide Special Authorization Request Form
2024-04-02
Special authorization request form to be completed by your physician or diagnosing specialist.
Long Acting Insulin Analogues Special Authorization Request Form
2024-04-02
Special authorization request form to be completed by your physician or diagnosing specialist.
Plaque Psoriasis Special Authorization Request Form
2024-04-02
Special authorization request form to be completed by your physician or diagnosing specialist.
Psoriatic Arthritis Special Authorization Request Form
2024-04-02
Special authorization request form to be completed by your physician or diagnosing specialist.
Diabetes Referral Form
2024-04-02
Complete this form to refer or self-refer to the Provincial Diabetes Program or the Diabetes Drug Program.
Ostomy Supplies Program Registration - Health Care Provider Form
2024-04-02
Your health care provider must complete this form as part of the application process for the Ostomy Supplies Program.