Government of Saskatchewan
Wednesday, March 20, 2019
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Special Support Program - Drug Plan - Side B - Annual Application

This form is used to request income information for assessment of eligibility for those with high drug costs in relation to income. You must complete this form and submit it with your income information each year. If you prefer to submit a one-time form that authorizes the Drug Plan to obtain your income tax information from Canada Revenue Agency (CRA), please use the CRA Application/Consent Form SIDE A).

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