WebHow to submit your completed form Fax: 1-866-678-6789 Mail: Canada Vigilance Program Marketed Health Products Directorate Health Canada Address locator 1908C Ottawa ON K1A 0K9 Other ways to report a side effect Online: canada.ca/medeffect Telephone: 1-866-234-2345 Do not send reports by e-mail. http://local222.ca/wp-content/uploads/GS-Prescription-Drug-Special-Authorization.pdf

GENERAL CLAIM SUBMISSION FORM (For Drug and …

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Health Plan « The UWSA

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