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Search term: EC

2012 / 03

Your search is limited to one month, search the whole site for EC.

PHARMAC documents that matched your search:

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

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Application form for renewal of Community Exceptional Circumstances (2 pages, 134 KB)
2012/03/01
EC

Application Form for RENEWAL of Community Exceptional Circumstances Approval Return completed form to: Panel Co-ordinator PHARMAC PO Box 10-254, Wellington Phone: 04-916-7553 Fax: 09-523-6870 Email: ecpanel@pharmac.govt.nz Please refer to the information sheet if necessary. Complete ALL relevant details. Please type…

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Application form for renewal of Hospital Exceptional Circumstances (4 pages, 159 KB)
2012/03/01
EC

Return completed form to: Fax: 09 523 6870 (preferred) Application Form for RENEWAL of Hospital Exceptional Circumstances Panel Co-ordinator PO Box 10-254, Wellington Phone: 04-916-7553 Email: ecpanel@pharmac.govt.nz Please refer to the information sheet if necessary. Complete ALL relevant details. Please…

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Cancer Exceptional Circumstances renewal form (3 pages, 80 KB)
2012/03/01
EC

Application Form for RENEWAL of Cancer Exceptional Circumstances Approval Return completed form to: Co-ordinator PHARMAC PO Box 10-254 Wellington Phone Fax: Email: 04-916-7553 09-523-6870 ecpanel@pharmac.govt.nz (note: fax number redirects to Wgtn office) 1. ELIGIBILITY UNDER CANCER EXCEPTIONAL CIRCUMSTANCES POLICY In…

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