BC MInistry of Health (MoH)

Palliative Care Benefits Program Application
  This e-Form version of the BC Palliative Care Benefits Program Application allows you to apply for the Pharmacare BC Palliative Care Drug Pro...
Fri, 29 Jul, 2016 at 11:51 AM
Psychiatric Medication Coverage
  This e-form version of the Application for Psychitric Medication Coverage with the Ministry of Health auto-fills with the patient and provide...
Fri, 29 Jul, 2016 at 11:55 AM
Special Authority Request Apixaban/Dabigatran/Rivaroxaban for Atrial Fibrillation
  This e-version of the Special Authority Request Apixaban/Dabigatran/Rivaroxaban for Atrial Fibrillation from the Ministry of Health will auto...
Fri, 29 Jul, 2016 at 12:54 PM
Special Authority Request for Cholinesterase Inhibitors (Initial Coverage)
  This e-fom allows you to put in a Special Authority Request for Cholinesterase Inhibitors, Initial Coverage (6 Months) as part of the Al...
Fri, 29 Jul, 2016 at 1:15 PM
Special Authority Request for Cholinesterase Inhibitors (Renewal/Switching Coverage)
  This eForm allows you to fill an electronic version of the Special Authority Request for Cholinesterase Inhibitors Renewal/Switching Coverage...
Fri, 29 Jul, 2016 at 1:21 PM
Special Authority Request for Cholinesterase Inhibitors (Switching for Tolerability)
  This electronic version of the Special Authority Request for Cholinesterase Inhibitors Switching for Tolerability, Alzheimer's Drug Ther...
Fri, 29 Jul, 2016 at 1:31 PM
British Columbia Ministry of Health Services Standard Out-Patient Breast Imaging Requisition
Wed, 7 Mar, 2018 at 4:37 PM
Special Authority Request for Linagliptin/Pioglitazone/Saxagliptin
  MoH Special Authority Request for Linagliptin/Pioglitazone/Saxagliptin. This eForm auto-fills with the patient and prescriber's informat...
Fri, 29 Jul, 2016 at 1:34 PM
Special Authority Request for Aclidinium, Glycopyrronium and Tiotropium
  Special Authority Request Aclidinium, Glycopyrronium and Tiotropium. This e-form auto-fills with the patient and prescriber's informatio...
Fri, 29 Jul, 2016 at 1:36 PM
Special Authority Request Proton Pump Inhibitors (PPIs)
  Electronic version of the MoH Special Authority Request Proton Pump Inhibitors (PPIs) form. This eForm auto-fills with the patient and pre...
Fri, 29 Jul, 2016 at 1:52 PM