MS Drugs Exception Status Application - (for Physician Use Only)

Description: Application form used by physicians to request coverage (on behalf of their patients) for drugs used in treatment of multiple sclerosis, specifically Betaseron/Copaxone/Rebif/Avonex-form is submitted to the MS Drug Advisory Panel for review.

Document ID:: 255 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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