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Aricept/Exelon/Reminyl Exception Drug Status Application - (for Physician Use Only)

Description:

Application form used by physicians to request drug coverage for Aricept or Exelon on behalf of their patients.


More Information Open Form
Document ID:: 246
Language: EN

Health
Drug Plan
3475 Albert Street
Regina, SK
S4S6X6, Canada
Tel. (306) 787-3317
Toll Free. (800) 667-7581
Fax. (306) 787-8679
Web Site. http://www.health.gov.sk.ca/

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