Submit a prescription reimbursement claim: Pharmacare programs
If you’re applying for reimbursement through the Pharmacare programs, you need to submit the Prescription Reimbursement Claim Form.
Use the Prescription Reimbursement Claim Form to submit prescription expenses.
Who can use this form
You need to use this form to submit a claim to the Pharmacare programs.
You need to submit the form within 6 months from the date your prescription was dispensed.
What you need to do
- Complete the Prescription Reimbursement Claim Form (Manual Claim) (PDF).
- Check the form for details on all required supporting documents.
- Submit your completed form and supporting documents.
How long it takes
It should take 4 to 6 weeks to get a reimbursement cheque for the approved amount of your claim. It can take longer if more information is needed or if your application hasn’t been filled in correctly.
Cost
There is no cost to submit the form.
Before you start
Make sure you have:
- Health Card number
- medical expense report from your pharmacy or official prescription receipts from your pharmacy
Online
When you submit the form online you need to create an account or sign in. You also need to upload the Prescription Reimbursement Claim Form (Manual Claim) PDF and any supporting documents.
You can use the Prescription Reimbursement Claim Form (Manual Claim) (PDF 145 kB) if you’re unable to submit the form online. Send your completed form and supporting documents by mail or fax.