Pharmacare Forms and Worksheets
The Pharmacare form and worksheet below are available for download as PDF documents, for your convenience.
- The Pharmacare Application and Consent Authorization Form
- The 2021/2022 Pharmacare Benefit Year Projected Income Worksheet
Completed forms and worksheets, and any supporting documentation if required, can be submitted by fax or mail to the address below.
Manitoba Health, Seniors and Active Living |
