Forms for Prescribers

Last updated on April 24, 2026

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No Charge Psychiatric Medication Plan (Plan G) Application

Form #	Form Name and Information
3497	No Charge Psychiatric Medication Program Plan (Plan G) Application (PDF, 534KB)

Application for Exceptional Plan Z Coverage for Contraceptives

Form #	Form Name and Information
5830	Application for Exceptional Plan Z Coverage for Contraceptives (PDF 663KB)

Emergency BC PharmaCare Coverage for Ukrainian Arrivals

Form #	Form Name and Information
5408	Emergency BC Pharmacare Coverage for Ukrainian Arrivals (PDF 1.1 MB)

BC Palliative Care Benefits Program Application

Form #	Form Name and Information
349	BC Palliative Care Benefits Program Application (PDF, 389KB)

Biosimilars Initiative

Form #	Form Name and Information
5844	Biosimilars Initiative Support: Insulin Aspart/Insulin Lispro Patient List Request (PDF, 70KB)

Special Authority Request Forms

Please see the separate list of PharmaCare Special Authority forms.

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The B.C. Public Service acknowledges the territories of First Nations around B.C. and is grateful to carry out our work on these lands. We acknowledge the rights, interests, priorities, and concerns of all Indigenous Peoples - First Nations, Métis, and Inuit - respecting and acknowledging their distinct cultures, histories, rights, laws, and governments.

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