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Affichage de 181 à 183 sur 183 enregistrements
Formulaire
Catastrophic Drug Program Application Form
Complete this form to apply for coverage of medication through the Catastrophic Drug Program.
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.