Special Authority: Basaglar and Insulin Detemir eFORM

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  • Create Date May 24, 2024
  • Last Updated May 26, 2024

Special Authority: Basaglar and Insulin Detemir eFORM

How to Import an e-Form

Use download button below, then import eform into your EMR by following these instructions

Special Authority for basal insulins, includes tickler loop closer.

Attached Files and Latest Versions

FileAction
SA_Basal_Insulin_V6_Sep2_2022.zipDownload