How to submit an Ontario Drug Benefit claim — and autofill form 014-2784-87 with my-id.ca
Bill ODB prescriptions without retyping pharmacy details
Pharmacies submitting Ontario Drug Benefit claims repeat pharmacy name, address, vendor identifiers, and patient health numbers on every claim batch. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Get coverage for prescription drugs — ontario.ca
- Form (Central Forms Repository): Drug Benefit Claim Submission Form — 014-2784-87
What this form is about
Form 014-2784-87 is the Drug Benefit Claim Submission Form, used by pharmacies to submit claims to the Ontario Drug Benefit program for eligible prescriptions dispensed to covered patients.
Before you start: what to gather
- Pharmacy legal name and address.
- ODB vendor or pharmacy identifier on file with the ministry.
- Patient Ontario health number and prescription details (DIN, quantity, days supply).
- Dispensing date and prescriber information as required.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your pharmacy name, address, and vendor identifiers in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- Who bills using this form?
- Registered Ontario pharmacies dispensing drugs covered under the Ontario Drug Benefit program.
- How does my-id.ca help?
- It autofills pharmacy names, addresses, and vendor identifiers; patient health numbers can be stored per client profile.
- How do I correct a submitted claim?
- Use the Drug Benefit Claim Reversal form (014-5069-87) or ministry-directed correction process — confirm on ontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.