Institutional Pharmacy permit must complete an application for a permit using an original Form DH-MQA 1215,. -Discovery simply is asking for more information from you.This type of request is a general document and its form is not tailored to individual clients. This application form is to apply for the Chronic Illness Benefit (CIB) and is only valid for 2024. The purpose of this form is to facilitate members of the Discovery Health Medical Scheme in applying for additional coverage under the PMB Chronic Disease List. The name of the manufacturer of the drug sample requested; and. 4. Were the funds provided in the most recent fiscal year subsequently vetoed?