Request funding for prescribed drugs outside ODB without retyping tenant details

Funding requests for prescribed drugs not covered by the Ontario Drug Benefit Plan for long-term care home residents repeat the tenant's name, health identifiers, prescriber details, and home contact information. 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: Paying for long-term care — ontario.ca
• Form (Central Forms Repository): Funding Request — Prescribed Drugs Not Covered by ODB Plan — 014-3651-41

What this form is about

Form 014-3651-41 is a Funding Request for Prescribed Drugs not covered by the ODB Plan for residents of long-term care homes.

Before you start: what to gather

• Tenant's full legal name and date of birth.
• Long-term care home name, address, and contact.
• Prescriber name and contact details.
• Drug and prescription information — confirm on ontario.ca.

Confirm the current process on ontario.ca.

How hivi makes it faster

1. Save it once. Store your tenant name and home or prescriber 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.