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/ DABIGATRAN/ APIXABAN/ SPECIAL AUTHORIZATION REQUEST Formations may or may not meet eligibility requirements as established by Alberta government sponsored drug programs. Please complete all required
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Dabigatranedoxaban special authorization is a process by which healthcare providers request approval for the use of this specific medication for a patient.
Healthcare providers who wish to prescribe dabigatranedoxaban for their patients are required to file the special authorization.
Dabigatranedoxaban special authorization forms can typically be filled out online or submitted through a specific portal provided by the healthcare institution.
The purpose of dabigatranedoxaban special authorization is to ensure that the medication is being prescribed appropriately and in accordance with relevant guidelines.
Information such as the patient's medical history, current medications, and the reason for prescribing dabigatranedoxaban must be reported on the special authorization form.
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