Form
Enfuvirtide Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Search
Visit News search to search all news
Displaying 41 - 50 of 100 records for "pharmacare/"
Form
Diabetes Referral Form
Complete this form to refer or self-refer to the Provincial Diabetes Program or the Diabetes Drug Program.
Form
Psoriatic Arthritis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Form
Family Health Benefit Application Form
Complete this form to apply for the Family Health Benefit Drug Program.
Form
Ostomy Supplies Program - Patient Application
To apply for the Ostomy Supplies Program, you must complete this form as part of the application process.
Form
Catastrophic Drug Program Application Form
Complete this form to apply for coverage of medication through the Catastrophic Drug Program.
Form
High Cost Drug Program Application Form
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.
Information
Catastrophic Drug Program
If the cost of your prescription medication is making it hard for you to pay other essential life expenses, you may qualify for coverage of certain medications through the Catastrophic Drug Program. Am I eligible? You and members of your household are eligible for the program if...