Request for Prescription and Non-Prescription Drugs 2026

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The document outlines the process for requesting health benefit exceptions for prescription, over-the-counter, or nutritional supplements under Alberta Health. It details the eligibility criteria, necessary documentation, and procedures for obtaining coverage through the Health Benefits Exception Process (HBEP) and Health Benefits Exception Committee (HBEC). Key points include the requirement to try listed drugs before seeking exceptions, alignment with Health Canada indications, and the need for periodic renewals of approved requests.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Patient Information. Fill in the Health Benefits Cardholder Name, Alberta Personal Health Number, and Date of Birth.
Next, provide Health Professional Information. Include the name, profession, date, phone number, and an optional office stamp.
If applicable, fill in details for a Spouse or Child. Enter their name if the request is not for the cardholder.
In the Drug Product Requested section, list each drug on a separate line along with relevant medical conditions and whether this is a new or renewal request.
Provide any additional information that may support your exception request, such as other medical conditions or allergies.

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Versions	Form popularity	Fillable & printable
2019	4.1 Satisfied (31 Votes)
2015	4.8 Satisfied (52 Votes)
2013	4 Satisfied (57 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a non-prescription drug called?

Prescription medications are often stronger. They target specific conditions and may have narrow therapeutic dosage ranges. OTC drugs typically have lower doses and are less potent. These factors help minimize the risk of harm to patients, even if they unintentionally take too much of an OTC medication.

What is a non prescription called?

Over-the-counter medicine is also known as OTC or nonprescription medicine.

What is a special authorization request for prescription drugs?

Special authorization is a mechanism to provide access to certain drugs according to defined clinical criteria. Special authorization request forms are completed by physicians and reviewed by clinical pharmacists. Prior approval must be granted to ensure coverage by special authorization.

What is the difference between prescription and non-prescription drugs?

Prescribed medication is medicine that you can only have if the doctor has given you a prescription for it, such as antibiotics. Non-prescribed medication is medicine that you can buy over the counter from the chemist or pharmacist, for example aspirin or cough medicine.

What is the meaning of prescription drugs?

The term over-the-counter (OTC) refers to a medication that can be purchased without a medical prescription. In contrast, prescription drugs require a prescription from a doctor or other health care professional and should only be used by the prescribed individual.

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What is the difference between NDA and OTC?

A primary difference is that approval of an NDA results in the approval to sell a specific finished drug product, whereas the OTC drug monograph process focuses on the safety and effectiveness of one or more active ingredients within a drug category.