|Classification / Identification:|
| ||Form Number:||014-3057-87||Edition date: ||2003/02 |
| ||Title:||Nutrition Products|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Drug Programs Delivery Branch|| || |
| ||Program:||Drug Programs Delivery Branch|| || |
| ||Purpose of Form:||Used for obtaining authorization for nutrition products as an ODB benefit under certai circumstances|| || |
| ||Ordering Information:||Fax your request to 613 548-6634 or Telephone 1 888 310-9008|
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