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  • Form 15
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Departments and Agencies

  • Health and Wellness 25
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Displaying 11 - 20 of 33 records for "pei pharmacare programs"
Form

Erythropoietin Program Approval Form

2024-11-28

Complete this form if you have been diagnosed with chronic renal failure, or are receiving kidney dialysis. You may be eligible for coverage of anemia treatment medications, which will eliminate the need for frequent blood transfusions.

Form

Diabetes Referral Form

2024-04-02

Complete this form to refer or self-refer to the Provincial Diabetes Program or the Diabetes Drug Program.

Information

Hepatitis Drug Program

2024-01-31

If you have been diagnosed with hepatitis or have been in close contact with someone who has hepatitis, you may be eligible for coverage of approved medication costs through the Hepatitis Drug Program. Am I eligible? You are eligible for this program if you are a PEI resident as...

Publication

Glucose Sensor Program Renewal Form

2024-04-25

This form is to renew your enrolment in the Glucose Sensor Program. 

Form

Travel Declaration

2024-12-19
Form

Family Health Benefit Application Form

2024-04-02

Complete this form to apply for the Family Health Benefit Drug Program.

Form

Rheumatoid Arthritis Special Authorization Request Form

2024-04-18

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

Form

retinal_disease_treatment_special_authorization_form

2024-08-13

Retinal Disease Treatment Special Authorization Form

Form

Nintedanib / Pirfenidone special authorization request form

2024-04-02
Information

Ostomy Supplies Program

2024-02-23

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...

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Content type

  • Form 15
  • Publication 9
  • Information 8
  • Service 1

Departments and Agencies

  • Health and Wellness 25
  • Finance 3
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Published date

  • (-) 2024 33
    • December 2024 3
    • November 2024 1
    • October 2024 3
    • September 2024 1
    • August 2024 5
    • July 2024 1
    • April 2024 15
    • February 2024 3
    • January 2024 1
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