This version of the form is not currently in use and is provided for reference only. Download this version of Form HLTH5361 for the current year.
Form HLTH5361 Pharmacare Special Authority Request - Targeted Dmards for Psoriatic Arthritis - Renewal/Dosing Adjustment is a form used in British Columbia, Canada for requesting special authorization for targeted DMARDs (Disease-Modifying Antirheumatic Drugs) treatment for psoriatic arthritis. It is used to renew or adjust the dosage of medication for patients with psoriatic arthritis under the Pharmacare program in British Columbia.
The Form HLTH5361 Pharmacare Special Authority Request - Targeted Dmards for Psoriatic Arthritis - Renewal/Dosing Adjustment in British Columbia, Canada is typically filled out by the patient's healthcare provider or physician.
Q: What is the purpose of the HLTH5361 Pharmacare Special Authority Request form?
A: The form is used for requesting renewal or dosing adjustment of targeted DMARDs for Psoriatic Arthritis in British Columbia, Canada.
Q: Who can use the HLTH5361 form?
A: The form is used by healthcare providers in British Columbia, Canada.
Q: What is Psoriatic Arthritis?
A: Psoriatic Arthritis is a type of arthritis that affects people with psoriasis.
Q: What are targeted DMARDs?
A: Targeted DMARDs are a type of medication used to treat Psoriatic Arthritis.
Q: What is meant by Renewal/Dosing Adjustment?
A: Renewal refers to requesting a continuation of the medication, while dosing adjustment refers to requesting a change in the dosage of the medication.
Q: Is the HLTH5361 form specific to British Columbia?
A: Yes, the form is specific to British Columbia, Canada.
Q: What is the goal of the Pharmacare Special Authority Request?
A: The goal is to ensure that patients with Psoriatic Arthritis have access to targeted DMARDs and to facilitate their appropriate use.