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Adobe PDF Adobe PDF document  Nutrition ProductsThe 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.Paper Copy Available
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Form Classification
Classification / Identification:
 Form Number:014-3057-87Edition date: 2003/02 
 Title:Nutrition Products
 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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