Form
Rheumatoid Arthritis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
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Displaying 51 - 60 of 96 records for "pei pharmacare programs/"
Service
Re-Apply to the Family Health Benefit Drug Program
If you are a family currently receiving benefits under the Family Health Benefit Drug Program with children under the age of 19 or under the age of 25 and a full-time student, you can re-apply online to continue to receive benefits . Am I eligible to re-apply? If you have received benefits through this program in the previous year, you can re-apply to continue receiving benefits if you: are a permanent PEI resident as defined by the Drug Cost Assistance Act; have a valid PEI Health Card; have filed your most recent income tax return in PEI; and are a low-income family supporting at least one...
Form
Ankylosing Spondylitis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Information
Ostomy Supplies Program
The Ostomy Supplies Program assists with the costs associated with a permanent ostomy. Am I eligible? You may be eligible for the program if you: are a PEI resident as defined by the Drug Cost Assistance Act; have a valid PEI Health Card; have filed your most recent income tax...
Form
Plaque Psoriasis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Form
Crohn's Disease Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Form
DPP-4 / SGLT2 Inhibitors Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.