Apply for nutrition product coverage without retyping patient and prescriber details

Physicians and patients seeking Ontario Drug Benefit authorization for nutrition products repeat patient name, health number, prescriber identifiers, and clinical justification on every 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: Get coverage for prescription drugs — ontario.ca
• Form (Central Forms Repository): Nutrition Products — 014-3057-87

What this form is about

Form 014-3057-87 is the Nutrition Products form used to obtain authorization for nutrition products as an Ontario Drug Benefit in certain clinical circumstances — confirm eligibility and product rules on ontario.ca.

Before you start: what to gather

• Patient full legal name and Ontario health number.
• Prescriber name, billing number, and practice address.
• Nutrition product requested and clinical indication.
• Supporting clinical documentation — confirm requirements on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your patient and prescriber name, health number, and address 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.