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Search term: SAForm

2009

PHARMAC documents that matched your search:

Prev, Next – Page 1 of 3 (29 documents)

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SA0943 – Letrozole (1 page, 3 KB)
2009/11/01
SAForm

Special Authority for Alternate Subsidy

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SA0973 - Gabapentin (Neurontin) - no further approvals (1 page, 7 KB)
2009/10/21
SAForm

SA0973 SPECIAL AUTHORITY FOR SUBSIDY Notes: Subsidy for patients pre-approved by PHARMAC on 1 August 2009. Approvals valid without further renewal unless notified. No new approvals will be granted from 1 August 2009. PHARMAC PO Box 10-254 Wellington Phone: 04…

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SA0657 – Clarithromycin (1 page, 3 KB)
2009/09/01
SAForm

Special Authority for Waiver of Rule

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SA0948 – Alendronate Tab 70 mg - with or without Cholecalciferol (2 pages, 7 KB)
2009/09/01
SAForm

Special Authority for Subsidy

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SA0976 - Dasatinib for treatment of Chronic Myeloid Leukaemia (CML) (2 pages, 17 KB)
2009/08/03
SAForm

CHRONIC MYELOID LEUKAEMIA TREATMENT APPLICATION FORM FOR IMATINIB/DASATINIB Please send applications and prescriptions to: The CML Co-ordinator PHARMAC P O Box 10254 Wellington Phone: 04 460 4990 Facsimile: 04 916 7571 Email: mary.chesterfield@pharmac.govt.nz Patient Details (Acceptable to attach hospital sticker)…

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SA0470 – Cyclosporin A (2 pages, 5 KB)
2009/08/01
SAForm

Special Authority for Subsidy

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SA0839 – Goserelin (2 pages, 6 KB)
2009/08/01
SAForm

Special Authority for Subsidy

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SA0837 – Leuprorelin (2 pages, 6 KB)
2009/07/01
SAForm

Special Authority for Subsidy

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1. Guidelines for Pulmonary Arterial Hypertension (PAH) Therapy Special Authority applications (5 pages, 148 KB)
2009/06/08
SAForm

ELIGIBILITY CRITERIA FOR INITIATION OF PULMONARY ARTERIAL HYPERTENSION THERAPY These guidelines are intended to assist relevant practitioners in gauging which patients are likely to be approved for pulmonary arterial hypertension treatments. In view of the complexity of pulmonary arterial hypertension…

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2. Adults Initial PAH application form (9 pages, 166 KB)
2009/06/08
SAForm

Initial Application for Funding of Pulmonary Arterial Hypertension Treatments for Adults (and children aged over 10 years) Please send applications to: PAH Panel Coordinator PHARMAC P O Box 10-254 WELLINGTON Phone: 04 9167 512 Facsimile: 04 460 4858 Email: PAH@pharmac.govt.nz…

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Prev, Next – Page 1 of 3 (29 documents)

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