English - 014-4942-87e - Exceptional Access...
Dataset description:
The purpose of the e-Form is to assist physicians in the EAP drug request process by integrating all the rules/criteria into an interactive e-Form that will ensure all the necessary...
Source: Exceptional Access Program (EAP) Request Innohep (Tinzaparin Sodium) Therapy
Additional Information
| Last updated | November 14, 2022 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/4112fd9b-8629-40a9-8da5-ec3b6e727abe/resource/38a57506-70d7-49a6-9a66-0f04a09ea484/download/4942-87e_innohep.pdf |
| Form File Identifier | 4942-87E |
| Name | English - 014-4942-87e - Exceptional Access Program (EAP) Request Innohep (Tinzaparin Sodium) Therapy |
| Form File Status | Available |
| Description | |
| Language | English |
| Functionality | Fill, Print, and Save |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022-11 |