Form 4406-87 Request for an Unlisted Drug Product - Exceptional Access Program (Eap) - Ontario, Canada (English / French)

Form 4406-87 is used to request access to an unlisted drug product through the Exceptional Access Program (EAP) in Ontario, Canada. The form is available in both English and French.

The Form 4406-87 Request for an Unlisted Drug Product - Exceptional Access Program (EAP) in Ontario, Canada (English/French) can be filed by healthcare professionals or physicians on behalf of their patients who need access to an unlisted drug for exceptional circumstances.

FAQ

Q: What is Form 4406-87?A: Form 4406-87 is a request form for an unlisted drug product under the Exceptional Access Program (EAP) in Ontario, Canada.

Q: What is the Exceptional Access Program (EAP)?A: The Exceptional Access Program (EAP) is a program in Ontario, Canada that allows patients to request unlisted drug products that are not covered under the regular drug benefit plans.

Q: Who can use Form 4406-87?A: Patients in Ontario, Canada can use Form 4406-87 to request an unlisted drug product under the Exceptional Access Program (EAP).

Q: Is the form available in both English and French?A: Yes, Form 4406-87 is available in both English and French.