How to request EAP funding for Zavesca® — and autofill 014-4777-87 with my-id.ca
Apply for Exceptional Access Program Zavesca® funding without retyping patient and prescriber details
Prescribers requesting Ontario Drug Benefit funding for Zavesca® (miglustat) for Niemann-Pick type C repeat patient identifiers, prescriber credentials, and practice contacts on every drug-specific EAP request. 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: Exceptional Access Program — ontario.ca
- Form (Central Forms Repository): Request for Zavesca® - Niemann Pick Type C (NPC) — 014-4777-87
What this form is about
Form 014-4777-87 is the Request for Zavesca® — Niemann Pick Type C (NPC), used under the Exceptional Access Program when an Ontario prescriber seeks ODB funding for miglustat for an eligible NPC patient — confirm clinical criteria on ontario.ca.
Before you start: what to gather
- Patient full legal name and health number.
- Prescriber name, registration number, and practice contact.
- NPC diagnosis and clinical justification for Zavesca®.
- Prior therapies and supporting documentation — confirm on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient health number and prescriber contact details 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 can prescribe Zavesca® under EAP?
- Ontario-licensed physicians and nurse practitioners for ODB-eligible patients — confirm NPC criteria on ontario.ca.
- How does my-id.ca help?
- It autofills patient health numbers and prescriber details across EAP drug request forms.
- Is this NPC-specific?
- Yes — 014-4777-87 is limited to Niemann-Pick type C; confirm diagnosis documentation 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.