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Microsoft Word Microsoft Word document  Request for an Unlisted Drug Product - Exceptional Access Program (EAP)The file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.Fill, Print & Save759.0 kb
Adobe PDF Adobe PDF document  Request for an Unlisted Drug Product - Exceptional Access Program (EAP)The file you are about to download will ONLY work properly if opened with an Adobe Reader 10 or later client. Please do not open this file in a browser.Fill & Print399.0 kb
Form Classification
Classification / Identification:
 Form Number:014-4406-87Edition date: 2017/06 
 Title:Request for an Unlisted Drug Product - Exceptional Access Program (EAP)
 Ministry:Health  
 Branch/ABC:Drug Programs Delivery Branch  
 Program:Drug Programs Delivery Branch  
 Purpose of Form:For faster decisions, prescribers can use the SADIE online portal to submit requests to the Exceptional Access Program (EAP). Sign in through GO Secure (https://www.ebse.health.gov.on.ca) and select SADIE from the services drop-down menu. Visit the SADIE website for more information: http://www.ontario.ca/sadie. Alternatively, this form can be used for submitting requests to the EAP by fax.   

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