Search results with tag "Special request authorization"
Criteria for Special Authorization of Select Drug Products
www.ab.bluecross.cathe Special Authorization criteria for each drug product). 1. For initial approval, a special authorization request must be submitted. If approval is granted, it will be effective for the Approval Period outlined in the drug product’s Special Authorization criteria 2. As long as the patient has submitted a claim for the drug product within ...
NEW BRUNSWICK DRUG PLANS SPECIAL AUTHORIZATION …
www2.gnb.caNEW BRUNSWICK DRUG PLANS SPECIAL AUTHORIZATION REQUEST New Brunswick Drug Plans / Régimes de médicaments du Nouveau-Brunswick Please fax completed form to 506-867-4872 or 1-888-455-8322. Request forms that …
SPECIAL AUTHORIZATION REQUEST FORM The …
www.gov.nl.caThe Newfoundland and Labrador Prescription Drug Program (NLPDP) SPECIAL AUTHORIZATION REQUEST FORM . Pharmaceutical Services . Department of Health and Community Services ... Phone: Toll Free Line: Fax: (709) 729-6507 . 1-888-222-0533 (709) 729-2851 . Please note that Special Authorization Requests normally take approximately 10 …
SPECIAL REQUEST/AUTHORIZATION - SUNY Maritime College
www.sunymaritime.edu21. special request/authorization. privacy act statement the authority to request this information is contained in 5 usc 301. the principle purpose of the information is to enable you to make known your desire for items listed or for some other special