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  • Create Date May 25, 2024
  • Last Updated May 26, 2024

Special Authority: LMWH eFORM

How to Import an e-Form

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

Special authority eFORM to access Dalteparin, Enoxaparin (Biosimilar), Nadroparin, and Tinzaparin for the prevention and treatment of venous thromboembolism (VTE) in Non-Cancer patients.  For LMWH use in cancer patients, use this eFORM.

Attached Files and Latest Versions

FileAction
SA_LMWH_V9_May25_2024.zipDownload