British Columbia Ministry of Health Forms

This form is used for requesting special authority for medication coverage for Attention Deficit and Hyperactivity Disorder (ADHD) in British Columbia, Canada.

This form is used for requesting special authority to access Angiotensin Receptor Blockers (ARBs) through the RDP Program in British Columbia, Canada.

This form is used for the Reference Drug Program in British Columbia, Canada specifically for Proton Pump Inhibitors (PPIs). It may be related to coverage and reimbursement information for these medications.

This form is used for requesting special authority for the medication Rifaximin in the province of British Columbia, Canada.

This form is used for requesting special authority for pharmacare coverage for the treatment of chronic Hepatitis B in British Columbia, Canada.

This form is used for requesting special authority to prescribe the medication Tocilizumab for the treatment of Giant Cell Arteritis in the province of British Columbia, Canada.

This form is used for requesting special authority to prescribe Elbasvir Plus Grazoprevir With or Without Ribavirin (Rbv) for the treatment of Chronic Hepatitis C in British Columbia, Canada.

This form is used for requesting special authority to use the medication Sofosbuvir in combination with Ribavirin for treating chronic Hepatitis C in British Columbia, Canada.

This form is used for requesting special authority for the medications Benralizumab and Mepolizumab in the province of British Columbia, Canada.

This form is used for continuous subcutaneous insulin infusion (insulin pump) in the province of British Columbia, Canada.

This form is used for requesting coverage for compounded medications under the Pharmacare program in British Columbia, Canada.

This form is used for the acknowledgement of completion of confidentiality procedures for medical device distributors who need access to Pharmanet in British Columbia, Canada.

This Form is used for medical device distributors in British Columbia, Canada who need access to Pharmanet. It includes an undertaking of confidentiality by the manager.

This form is used for medical device distributors in British Columbia, Canada who want to access Pharmanet. It requires the authorized person to sign an undertaking of confidentiality.

This Form is used for a Medical Device Distributor - Software Vendor Pharmanet Third Party Confidentiality Undertaking in British Columbia, Canada.

This form is used for individuals in British Columbia, Canada who need hospital access to the pharmanet (a network that provides access to prescription drug information). The form is an undertaking to complete confidentiality procedures to ensure the privacy and security of patient information.

This form is used for obtaining consent from patients in British Columbia, Canada to release their Pharmanet patient record. Pharmanet is a comprehensive electronic system that tracks the prescription medications dispensed in British Columbia. The form ensures that patients authorize the release of their medication records to healthcare providers or other authorized parties.

This form is used for requesting to inactivate an adverse reaction or clinical condition on the Pharmanet profile in British Columbia, Canada.

This form is used for requesting reimbursement for medical expenses incurred in British Columbia, Canada.

This form is used for submitting out-of-country medical claims in the province of British Columbia, Canada.

This form is used for assigning payment to a designated recipient in the province of British Columbia, Canada.

This Form is used for applying for an MSP billing number for physicians practicing in British Columbia, Canada.