1326
This form is used for enrolling as a pharmacare provider in British Columbia, Canada. It requires providing owner details for the enrollment process.
This Form is used for enrolling additional sites in the Pharmacare provider network in British Columbia, Canada.
This Form is used for applying for financial assistance for orthotic benefits in British Columbia, Canada through the Pharmacare program.
This Form is used for applying for financial assistance for non-limb prosthetic benefits under the Pharmacare program in British Columbia, Canada.
This Form is used for applying for financial assistance for prosthetic benefits in British Columbia, Canada under the Pharmacare program.
This form is used for submitting a special authority request for pharmacare coverage in British Columbia, Canada.
This form is used for assessing the disease activity of individuals with ankylosing spondylitis in British Columbia, Canada.
This form is used for requesting special authority for coverage of deferiprone and deferasirox medications in British Columbia, Canada. It is used for both initial and renewal requests.
This form is used for requesting special authority for the medication Ticagrelor in the province of British Columbia, Canada.
This form is used for requesting special authority for the medication Ivabradine in the province of British Columbia, Canada.
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.