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Medication Coverage

Collection of Special Authority forms/drug coverage forms/etc

Special Authority Forms - Generic — by Shelter Lee — last modified 2008-05-11 21:58
Special Authority - Glitazones — by Shelter Lee — last modified 2008-05-11 22:05
Special Authority - PPI — by Shelter Lee — last modified 2008-05-11 22:11
Special Authority - Spiriva (tiotropium) — by Shelter Lee — last modified 2008-05-11 22:16
Special Authority - Cholinesterase Inhibitors — by Shelter Lee — last modified 2008-05-11 22:20: Please note that there's an update version of the form now...this is the older, longer version.
Palliative Care Benefit Application — by Shelter Lee — last modified 2008-05-11 22:46
Plan G — by Shelter Lee — last modified 2008-05-11 22:51: Psychiatric Medication Coverage Application