Search
Go to the News search to search all news
Displaying 1 - 10 of 71.
Results
Psoriatic Arthritis Special Authorization Request Form
2023-07-25
Special authorization request form to be completed by your physician or diagnosing specialist.
Standard Special Authorization Request Form
2023-06-29
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
2023-06-27
Special authorization request form to be completed by your physician or diagnosing specialist.
Plaque Psoriasis Special Authorization Request Form
2023-06-27
Special authorization request form to be completed by your physician or diagnosing specialist.
Crohn's Disease Special Authorization Request Form
2023-06-27
Special authorization request form to be completed by your physician or diagnosing specialist.
Apixaban, Dabigatran, Edoxaban, Rivaroxaban Special Authorization Request Form
2023-06-27
Special authorization request form to be completed by your physician or diagnosing specialist.
DPP-4 / SGLT2 Inhibitors Special Authorization Request Form
2023-06-27
Special authorization request form to be completed by your physician or diagnosing specialist.
Long Acting Insulin Analogues Special Authorization Request Form
2023-06-27
Special authorization request form to be completed by your physician or diagnosing specialist.
Family Health Benefit Application Form
2023-05-09
Complete this form to apply for the Family Health Benefit Drug Program.
High Cost Drug Program Application Form
2023-05-09
Complete this form if you need assistance paying for expensive medications. You may be eligible for coverage of approved medication costs through the High Cost Drug Program.