Exception Drug Status Request Fax Form - (for Pharmacy or Physician Use Only)

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Exception Drug Status Request Fax Form - (for Pharmacy or Physician Use Only)

Description:
Application form used by physicians and pharmacists to request Exception drug status coverage on behalf of their patients/ clients.

Document ID:: 250
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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