Manitoba Pharmacare
Manitoba Pharmacare is a drug benefit program for eligible Manitobans, regardless of disease or age, whose income is seriously affected by high prescription drug costs.
Manitoban students: You must first register for Manitoba Pharmacare. Once you have submitted your application, please provide the information. For more information, please visit the Manitoba Pharmacare Section.
Out of province or International Students: You do not qualify for Manitoba Pharmacare, to complete the online form please provide your home province or country of origin.
Enrolment in the Student Health and Dental plan is not guaranteed by submitting this form; The Student must meet the eligible criteria to be automatically enrolled in the plan. Should you have any questions regarding the enrolment process please contact us at redriverplan@mystudentplan.ca prior to submitting this form.
I understand the information provided above is required in order to obtain the said pay direct drug card. I hereby authorize and consent to the use, release, and exchange of the above information between the institution, the student organization, the Student Service Co-ordinator, Gallivan & Associates, BCE Emergis Assure Health Division, and the insurance carrier(s) to be used solely in connection with the Student Benefits Plan. I confirm that all the information provided herein is accurate. I also understand that the Student Service Coordinator may need to notify the institution to find out whether or not I have paid for the plan.