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Wilfrid Laurier University Human Resources
April 25, 2014
 
 
Canadian Excellence

Forms

Employee Benefits

Health & Dental Benefits - Pay Direct Drug Claim Form


published: 07-Feb-2008    PDF (57kb)    GWL_Pay_Direct_Drug_Claim_Form.pdf

The Pay Direct Drug Claim form should be used only if your prescription was unable to be processed at the pharmacy using your drug card.

 
 

updated December 07/12