Publication
Pharmacare Formulary
The Pharmacare Formulary is a list of prescription medications and medical supplies approved for coverage through PEI Pharmacare.
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for "pharmacare"
Feature
PEI Pharmacare Formulary Search
The prescription medications and diabetic supplies covered by PEI Pharmacare are listed here, including those requiring special authorization. The amount Pharmacare pays depends on drug program and Pharmacare reimbursement rules. The Formulary is continuously reviewed and updated...
Formulaire
Standard Special Authorization Request Form
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.
Information
PEI Pharmacare Forms
For Medical Professionals Special Authorization Forms Ankylosing Spondylitis Special Authorization Request Form [PDF | 113 KB] Crohn's Disease Special Authorization Request Form [PDF | 190 KB] DPP-4 / SGLT2 Inhibitors Special Authorization Request Form [PDF | 190 KB] Enfuvirtide...
Formulaire
Déclaration de voyage du régime d’assurance-médicaments de L’Î.-P.-É. pour les déplacements hors province
Les bénéficiaires du Régime d’assurance-médicaments de l’Île-du-Prince-Édouard qui voyagent à l’extérieur de la province pourraient être autorisés à obtenir un approvisionnement de 180 jours de médicaments admissibles avant de quitter la province. Si votre médicament est...
Formulaire
Ostomy Supplies Claim Submission Form
This form is used to submit a claim to the Ostomy Supplies Program.
Formulaire
Rheumatoid Arthritis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Formulaire
Home Oxygen Program Application Form
Complete this form if you have been diagnosed with Chronic Obstructive Pulmonary Disease (COPD) and have been prescribed oxygen. You may be eligible for coverage of expenses through the Home Oxygen Program.