This form is only to be used by prescribers to request an exemption for Ontario’s Biosimilar Switch Policy for a patient who HAS BEEN USING AN ORIGINATOR BIOLOGIC REIMBURSED THROUGH THE ONTARIO DRUG BENEFIT (ODB) PROGRAM previously authorized through the Exceptional Access Program and is unable to switch from an originator biologic or who is requesting to switch back to the originator following biosimilar switch.
Used by Ministry clients to order forms from OSS Distribution.
To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
To be used by residents of LTC homes who would like to apply for a reduction in the amount of their basic accommodation fees. This document guides applicants in determining which supporting documents will be required as part of their application. This document is to be used by applicants who do not have a Notice of Assessment.
Used to apply for Funding for Ventilator Equipment and Supplies
Application form for drug therapy for Fabry disease
Claim card used by physicians to receive reimbursement for reciprocal claims
Using the standardized fax template, pharmacists must share the completed MedsCheck Personal Medication Record with the patient's primary prescriber. A record of the successfully transmitted fax must be kept on file at the pharmacy.
Form outlines the Conformance Testing-Acceptable Use Policy and is part of agreement between ministry and vendor who must successfully pass the conformance testing.
Application for drug funding
Form used by IHPs to set up direct bank deposit
Addendum for Ventilator Equipment and Supplies Application