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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HLTH5366
for the current year.
Form HLTH5366 Special Authority Request - Targeted Dmards for Ankylosing Spondylitis - Renewal / Dosing Adjustment - British Columbia, Canada
Form HLTH5366 Special Authority Request - Targeted Dmards for Ankylosing Spondylitis - Renewal/Dosing Adjustment is used in British Columbia, Canada for requesting special authority to receive targeted DMARDs (Disease-Modifying Antirheumatic Drugs) for the treatment of Ankylosing Spondylitis. It is specifically for renewing or adjusting the dosage of these medications.
The form HLTH5366 Special Authority Request - Targeted Dmards for Ankylosing Spondylitis - Renewal/Dosing Adjustment - British Columbia, Canada, is filed by the healthcare provider or physician treating the patient.
FAQ
Q: What is HLTH5366?A: HLTH5366 Special Authority Request is a form used in British Columbia, Canada for requesting targeted DMARDs (Disease-Modifying Antirheumatic Drugs) for Ankylosing Spondylitis.
Q: What is Ankylosing Spondylitis?A: Ankylosing Spondylitis is a form of arthritis that primarily affects the spine and can cause inflammation and pain.
Q: What are targeted DMARDs?A: Targeted DMARDs are medications used to treat autoimmune diseases like Ankylosing Spondylitis by modifying the immune system's response.
Q: What is a Special Authority Request?A: A Special Authority Request is a form used to request coverage for specific medications or treatments that may require additional approval or criteria.
Q: When is the HLTH5366 form used?A: The HLTH5366 form is used for renewing or adjusting the dosing of targeted DMARDs for Ankylosing Spondylitis in British Columbia, Canada.
Download Form HLTH5366 Special Authority Request - Targeted Dmards for Ankylosing Spondylitis - Renewal / Dosing Adjustment - British Columbia, Canada
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