This version of the form is not currently in use and is provided for reference only. Download this version of Form HLTH5378 for the current year.
Form HLTH5378 Frequent Dispensing Authorization in British Columbia, Canada is used to request frequent or long-term prescription medication supplies from a community pharmacy. It allows patients who require ongoing medications to receive multiple refills at once, saving them multiple trips to the pharmacy.
The patient or their legal representative files the Form HLTH5378 Frequent Dispensing Authorization in British Columbia, Canada.
Q: What is Form HLTH5378?
A: Form HLTH5378 is a Frequent Dispensing Authorization form in British Columbia, Canada.
Q: What is the purpose of Form HLTH5378?
A: Form HLTH5378 is used to request frequent dispensing of medications in British Columbia.
Q: Who can use Form HLTH5378?
A: Form HLTH5378 is used by patients in British Columbia who require frequent dispensing of medications.
Q: What information is required on Form HLTH5378?
A: Form HLTH5378 requires information such as patient details, prescribing healthcare provider information, medication details, and dispensing pharmacy information.
Q: How long is Form HLTH5378 valid for?
A: Form HLTH5378 is typically valid for one year, but the duration may vary depending on the specific circumstances.
Q: Can I extend the validity of Form HLTH5378?
A: Yes, if you still require frequent dispensing of medications after the initial validity period, you can request an extension from your healthcare provider.
Q: What should I do if Form HLTH5378 is lost or expired?
A: If Form HLTH5378 is lost or expired, you should contact your healthcare provider or pharmacy to obtain a new form.
Q: Is there a fee associated with submitting Form HLTH5378?
A: There may be a fee associated with submitting Form HLTH5378, but it varies depending on the pharmacy and the specific circumstances. You can check with your healthcare provider or pharmacy for more information.