|Classification / Identification:|
| ||Form Number:||014-4463-97E||Edition date: ||2018/09 |
| ||Title:||Pharmacy Requisition for Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs)|
| ||Ministry:||Health|| || |
| ||Branch/ABC:||Supply Chain and Facilities Branch|| || |
| ||Program:||Ontario Government Pharmacy/Procurement|| || |
| ||Purpose of Form:||Use this form if you are an eligible pharmacy associated with LTCHs and need to order Ontario Drug Benefit Approved Non-Prescription Drugs (ANPDs) from OGPMSS. You are required to complete the form in its entirety for your orders to be processed.|| || |
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