Publication
Health PEI Formulary Drugs for Oncology
The Health PEI Formulary Drugs for Oncology is a list of oncology medications that are funded by Health PEI through one of two funding channels:
Résultats de la recherche
Visitez Recherche de nouvelles pour rechercher toutes les nouvelles
Affichage de 1 à 10 sur 32 enregistrements
for "pharmacare"
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
Ankylosing Spondylitis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Formulaire
Crohn's Disease Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Formulaire
Psoriatic Arthritis Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.