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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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.
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.
Formulaire
Ostomy Supplies Program Registration - Health Care Provider Form
Your health care provider must complete this form as part of the application process for the Ostomy Supplies Program.
Formulaire
Ostomy Supplies Program - Patient Application
To apply for the Ostomy Supplies Program, you must complete this form as part of the application process.
Formulaire
Catastrophic Drug Program Application Form
Complete this form to apply for coverage of medication through the Catastrophic Drug Program.
Formulaire
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.
Publication
Insulin Pump Program and Glucose Sensor Program Renewal Form
Use this form to renew your enrolment in the Insulin Pump Program or both the Insulin Pump Program and the Glucose Sensor Program together.
Publication
Glucose Sensor Program Renewal Form
This form is to renew your enrolment in the Glucose Sensor Program.