Special Authority: Dabigatran/Rivaroxaban for Atrial Fibrillation eFORM

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Special Authority: Dabigatran/Rivaroxaban for Atrial Fibrillation eFORM

How to Import an e-Form

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

SA for direct oral anticoagulants (DOAC) for use in AF.  Note that Apixaban is covered without the need for SA approval.

Attached Files and Latest Versions

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SA_DOAC_V16_Jan24_2024.zipDownload