HIV/AIDS Drug Request Prescription Form

The HIV/AIDS Drug Request Prescription Form (PDF) may be downloaded here. Paper copies of the form may be requested from the BC-CfE HIV Drug Treatment Program. Information about how to complete the prescription form can be found in the next section.

For information on how to use this form, and to learn about program eligibility, enrolment, and obtaining HIV medication in BC, please click here.

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The British Columbia Centre for Excellence in HIV/AIDS Laboratory has discontinued gp-41 resistance testing as T-20 (enfuvirtide/Fuzeon) is no longer available in Canada as of March 31, 2025