Bill ODB prescriptions without retyping pharmacy details

Pharmacies submitting Ontario Drug Benefit claims repeat pharmacy name, address, vendor identifiers, and patient health numbers on every claim batch. This guide is an example of storing them once in hivi.

Official form and source

Start from the official source and always use the current version — form numbers and links can change:

• Service page: Get coverage for prescription drugs — ontario.ca
• Form (Central Forms Repository): Drug Benefit Claim Submission Form — 014-2784-87

What this form is about

Form 014-2784-87 is the Drug Benefit Claim Submission Form, used by pharmacies to submit claims to the Ontario Drug Benefit program for eligible prescriptions dispensed to covered patients.

Before you start: what to gather

• Pharmacy legal name and address.
• ODB vendor or pharmacy identifier on file with the ministry.
• Patient Ontario health number and prescription details (DIN, quantity, days supply).
• Dispensing date and prescriber information as required.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your pharmacy name, address, and vendor identifiers in your hivi profile.
2. Keep documents ready. Upload supporting documents to hivi Files so you are not searching at form time.
3. Autofill the form. Use the hivi Chrome extension on a web form, or fill a PDF from your saved profile inside hivi.
4. Review and submit yourself through the official channel.

Why do it in hivi

Related Ontario forms repeat the same personal details. Captured once in hivi — stored in Canada, with AI on its own servers — every form starts mostly complete.