Seek Exceptional Access Program coverage for unlisted drugs without retyping patient and prescriber details

Prescribers requesting Ontario Drug Benefit funding for drugs not on the formulary repeat patient identifiers, prescriber credentials, and practice contacts on every unlisted drug EAP application. 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: Exceptional Access Program — ontario.ca
• Form (Central Forms Repository): Request for an Unlisted Drug Product - Exceptional Access Program (EAP) — 014-4406-87

What this form is about

Form 014-4406-87 is the Request for an Unlisted Drug Product under the Exceptional Access Program, used when an Ontario prescriber seeks ODB funding for a drug product not listed on the formulary — confirm whether a drug-specific form exists on ontario.ca.

Before you start: what to gather

• Patient full legal name and health number.
• Prescriber name, registration number, and practice contact.
• Drug product name, strength, and dosing regimen requested.
• Clinical rationale and alternatives tried — confirm EAP criteria on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient health number and prescriber contact details 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.