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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HLTH5355
for the current year.
Form HLTH5355 Application for Income Review - Fair Pharmacare Plan - British Columbia, Canada
The Form HLTH5355 is an application form used to request an income review for the Fair Pharmacare Plan in British Columbia, Canada. It is used to assess eligibility for prescription drug coverage based on income and household size.
The applicant themselves or their authorized representative can file the Form HLTH5355 Application for Income Review for the Fair Pharmacare Plan in British Columbia, Canada.
FAQ
Q: What is the HLTH5355 Application for Income Review?
A: The HLTH5355 Application for Income Review is a form used to apply for income review for the Fair Pharmacare Plan in British Columbia, Canada.
Q: What is the Fair Pharmacare Plan?
A: The Fair Pharmacare Plan is a program in British Columbia, Canada that helps eligible residents with the cost of prescription drugs.
Q: Who is eligible for the Fair Pharmacare Plan?
A: Residents of British Columbia, Canada who have a valid provincial health number and meet income requirements are eligible for the Fair Pharmacare Plan.
Q: What is the purpose of the HLTH5355 Application for Income Review?
A: The purpose of the HLTH5355 Application for Income Review is to determine eligibility for the Fair Pharmacare Plan based on income.
Download Form HLTH5355 Application for Income Review - Fair Pharmacare Plan - British Columbia, Canada
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