Formulaires

Displaying 31 - 40 of 744 records
Standard Special Authorization Request Form
Régime d'assurance-médicaments | le 4 Novembre 2025

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.

Renseignements généraux

Communiquez avec le gouvernement ou cliquez sur l’onglet Commentaires pour transmettre de vos commentaires.