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SPECIAL AUTHORIZATION REQUEST FORM The Newfoundland and Labrador Prescription Drug Program (NLPDP) ® JETREA ocriplasmin 2.5 mg/ml Pharmaceutical Services Department of Health and Community Services
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Document Date: 2015-05-14 09:37:58
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File Size: 174,24 KB
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Facility
Pharmacy Name /
Confederation Bldg. /
/
/
MedicalCondition
Large diameter macular holes /
High myopia /
/
MedicalTreatment
surgery /
laser therapy /
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Organization
Department of Health /
/
/
Position
Physician /
Pharmacist /
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Technology
laser /
tomography /
/
SocialTag
Clinical pharmacology
Medical prescription
Patient safety
Pharmacology
Blindness
Macular degeneration
Retinal detachment
Diabetic retinopathy
Health
Medicine