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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