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Clinical pharmacology / Medical prescription / Patient safety / Pharmacology / Blindness / Macular degeneration / Retinal detachment / Diabetic retinopathy / Health / Medicine / Ophthalmology


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. / /

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MedicalCondition

Large diameter macular holes / High myopia / /

MedicalTreatment

surgery / laser therapy / /

Organization

Department of Health / /

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Position

Physician / Pharmacist / /

Technology

laser / tomography / /

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