Healthcare Provider Downloads & Resources Access a comprehensive offering of the most common healthcare provider forms, lists and manuals. Accessible formats are available upon request to Human Resources. Dentists Dental Hygienist Provider Enrolment FormTo begin the registration process with Express Scripts Canada as a dental hygienist, please complete and submit this form. Denturist Provider Enrolment FormTo begin the registration process with Express Scripts Canada as a denturist, please complete and submit this form. Modification to Dental Provider Information FormFor any personal, office or banking changes, please complete and submit the Modification to Dental Provider Information Form. Dental Group User ID Request FormTo view statements for multiple professionals in one account, please complete and submit the Dental Group User ID Request Form. Extended Healthcare Group User ID Request Form for Online Statements Electronic Extended Health Care Claims Submissions Pharmacy Pharmacy Provider ManualConsult the manual for more information on submitting pharmacy claims. Drug Recall ProtocolThe communication highlights protocols pharmacy providers are to follow in responding to a drug recall. Claim Form for drugs over $9,999.99Please complete, print and submit this form for drug claims over $9,999.99. Pseudo DINsConsult a list of pseudo DINs that correspond to the chemicals used for compounding Units of Measure (Package Size)List of Units of Measure (Package Size) for Specific DIN/PINs Direct Deposit FormPrint, complete, and submit this form to add or update banking information for direct deposit payments. Frequent Dispensing Form Cognitive Service Fee Claims (Step Therapy Modules) Step Therapy Drug List Physicians Dynamic Therapeutic Formulary Dynamic Therapeutic Formulary Maintenance Medications Sample Maintenance Medications ListNot sure if your medication is considered maintenance? Check here for a sample list of our maintenance medications. Prior Authorization Program Prior Authorization Program