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Alberta Blue Cross fax number

(780) 498-8384

Clinical Drug Services and Evaluation

Used for: Drug special authorization submission (e.g., Unitron-PEG Special Authorization Request Form) for Alberta Health government/drug benefits

Fax destination details

Department
Clinical Drug Services and Evaluation
Purpose
Drug special authorization submission (e.g., Unitron-PEG Special Authorization Request Form) for Alberta Health government/drug benefits
Form
Unitron-PEG Special Authorization Request Form — Unitron-PEG Special Authorization Request Form
Address
10009 108 Street NW, Edmonton, AB T5J 3C5, Canada

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Fill out the Unitron-PEG Special Authorization Request Form (ABC 30933) and fax to Alberta Blue Cross at (780) 498-8384 in Edmonton and area; for other drugs, use the general Drug Special Authorization Request Form (ABC 20061) and fax to the same number.

Official form instructions are published as a downloadable file on the organization's website.

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