Application for Review
Do you wish to apply for a
review of a decision rendered by
the Régie concerning your
eligibility for the Public Prescription Drug Insurance Plan?
You may do so by
filling out the form entitled
Application for Review – Public Prescription Drug Insurance Plan.
You have six months, from the date the Régie's letter of decision is deposited in your mailbox or handed to you in person, to apply for a review of your file.
How to Use PDF Files
Instructions
You can download the
application, which is in PDF
format
. Since the application is
a static form, you must print it
out, complete it by hand, and
send it to the Régie.