Forms for Prescribers

Attention!  Some web browsers may not support all the features of PDF forms, such as fillable or calculating fields, and may produce errors.  We recommend you download the form and open it using the latest version of Adobe Reader.

No Charge Psychiatric Medication Plan (Plan G) Application

3497

Medical Assistance in Dying Medication Coverage Application

5466

BC Palliative Care Benefits Program Application

349

Special Authority Request Forms

Please see the separate list of PharmaCare Special Authority forms.

Share Button