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To register ESRD patients for Special Drug Program for provision of Eythropoietins.
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Application for reimbursement of cost due to use of Visudyne
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To facilitate prescribers making reimbursement claims for treatment of Hurler-Scheie and Hurler disease
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To facilitate prescribers making reimbursement claims for treatment of Niemann Pick Type C (NIPC).
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To provide patient advocacy groups with a template for written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
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To allow patient advocacy groups to register into the database so that they provide written submissions to the ministry on a drug; the form is to make sure all the appropriate information is provided.
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For faster decisions, prescribers can use the SADIE online portal to submit requests to the Exceptional Access Program (EAP). Sign in through GO Secure (
https://www.ebse.health.gov.on.ca) and select SADIE from the services drop-down menu. Visit the SADIE website for more information:
http://www.ontario.ca/sadie. Alternatively, this form can be used for submitting requests to the EAP by fax.
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To facilitate physician's in making an EAP request for funding/reimbursement of Elaprase for Hunter's Syndrome.
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Used for obtaining authorization for nutrition products as an ODB benefit under certai circumstances
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Application for services of a homemaker or a nurse
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