PDF
Word
Form HLTH5484 Special Authority Request - Sacubitril-Valsartan Combination - British Columbia, Canada
Form HLTH5484 Special Authority Request - Sacubitril-Valsartan Combination in British Columbia, Canada is used to apply for special authority to access and receive coverage for the medication Sacubitril-Valsartan, which is used to treat heart failure.
The form HLTH5484 Special Authority Request - Sacubitril-Valsartan Combination in British Columbia, Canada is typically filed by the prescribing healthcare professional or their designated representative.
Form HLTH5484 Special Authority Request - Sacubitril-Valsartan Combination - British Columbia, Canada - Frequently Asked Questions (FAQ)
Q: What is the HLTH5484 Special Authority Request?
A: The HLTH5484 Special Authority Request is a form used in British Columbia, Canada to request coverage for the sacubitril-valsartan combination drug.
Q: What is sacubitril-valsartan?
A: Sacubitril-valsartan is a medication used to treat heart failure.
Q: Who can use the HLTH5484 Special Authority Request?
A: The HLTH5484 Special Authority Request can be used by healthcare providers in British Columbia, Canada.
Q: What is the purpose of the Special Authority Request?
A: The purpose of the Special Authority Request is to request coverage for the sacubitril-valsartan combination drug for eligible patients.
