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improved March 21, 2021

Attachment: Request for Use of Formulary Drug for an Unapproved Indication Form.

Pharmacy

Attachment: Request for Use of Formulary Drug for an Unapproved Indication Form.

By improved
March 21, 2021
Approved, Attachment, Drug, Form, Formulary, Indication, P&T Committee, Unapproved, Updates

The following form will work when a physician needs to use a certain formulary drug for a usage other than the approved use like unapproved indication or...

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