Use this form if you ordered drugs and/or medical supplies from OGPMSS and wish to return resalable drugs and/or medical supplies to OGPMSS. OGPMSS will only accept returns and provide credit for resalable drugs or supplies that meet the criteria listed on the form. OGPMSS will provide you with a Return Authorization Number within 2 business days upon receipt of a completed form.
Used by clients to request funding assistance for Insulin Pumps and Supplies for Children
To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
Form submitted to ministry to obtain Health Number of patient when not available
Used by pharmacies for submitting claims or reversals
Used by pharmacies for submitting claims
The form collects contact, recruitment and financial information from applicants who have successfully recruited PA graduates.
Prequalification form for health care agencies and workplaces that are required to prequalify in order to receive influenza vaccine.
