|Classification / Identification:|
| ||Form Number:||014-2772-87E||Edition date: ||2021/03 |
| ||Title:||Special Authorization (Allergen)|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Drug Programs Delivery Branch|| || |
| ||Program:||Drug Programs Delivery Branch|| || |
| ||Purpose of Form:||Used for obtaining authorization for allergen exact as an ODB benefit|| || |
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