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REIMBURSEMENT & FORMS

 Updated:     August 26, 2009

FORMS (all links open PDF documents)

Benefit List
Class 2
Undesignated Indication Application Form
Filgrastim (GCSF) Form

Health Canada Special Access Programme (SAP) Form (link to Health Canada webpage)

Drugs With Special Ordering Procedures
Patient Assistance Programs
PharmaCare Special Authority Request
CON Referral Form
Compassionate Access Program (formerly undesignated drug request process)
CAP Guiding Principles
Thalidomide forms
  BCCA:
    Process to access thalidomide 
    Thalidomide patient info sheet 
  CANTAP:
    CANTAP registration form
    CANTAP eligibility form
    CANTAP letter to doctors
    CANTAP letter to patients 
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