Please see xxx xxxxxx.xxx/xxxxx for the Vocera policies referenced above and for the list of Product Documentation.
Please see xxx. XX for further information about the use of the UK Aid logo, for information: xxxxx://xxx.xxx.xx/government/publications/uk-aid-standards-for-using-the- logo. In addition, project leaders are expected to advise the Department about any UK media/news stories before they are published. Where part of a larger programme, a Darwin project should be easily identifiable.
Please see xxx xxxxxx.xxx/xxxxx for the Vocera policies referenced above and for the list of Product Documentation. Attachment 5 Software Maintenance and Technical Support Policy (Revision G) Territory: New Zealand
Please see xxx xxxxxxxxxxxxxxxxx.xxx for information provided by the scheme.
Please see xxx xx-xx-xxxxxxXXXX.xxx for a listing of the member companies.
Please see xxx xxxxxxxxxxxxxxxxx.xxx for information provided by the scheme. (Please see Section 3 of The DPS Custodial Terms & Conditions)
Please see xxx xxx.xxx.xx for further information and details of the FCO’s Posts overseas. In the UK the FCO employ a number of profoundly deaf officers who require the provision of a face to face interpreting service to support them in the workplace. The officers require the support either of a NRCPD standard registered British Sign Language Interpreter level 6 or equivalent or Level 2 CACDP Lip-speaker and Sign Supported depending on individual need. This service could be required at any of the FCO offices in the UK. This service is also required for off-site locations
Please see xxx. Xxxxxxx.xxx/XxxxxxxxXxxxxxx for the list of pharmacy participants Information about POMALYST and the POMALYST REMS® program can be obtained by calling the Celgene Customer Care Center toll-free at 0-000-000-0000, or at xxx.XxxxxxxXxxxXxxxxxxxxx.xxx. THALOMID® (thalidomide) Patient Prescription Form Today’s Date Date Rx Needed Patient Last Name Patient First Name Phone Number ( ) Shipping Address City State Zip Date of Birth Patient ID# Language Preference: ¨ English ¨ Spanish ¨ Other Best Time to Call Patient: ¨ AM ¨ PM Patient Diagnosis Patient Allergies Other Current Medications Prescriber Name State License Number Prescriber Phone Number ( ) Ext Fax Number ( ) Prescriber Address City State Zip Patient Type From PPAF (Check one) ¨ Adult Female — NOT of Reproductive Potential ¨ Adult Female — Reproductive Potential ¨ Adult Male ¨ Female Child — Not of Reproductive Potential ¨ Female Child — Reproductive Potential ¨ Male Child PRESCRIPTION INSURANCE INFORMATION (Fill out entirely and fax a copy of patient’s insurance card, both sides) Primary Insurance Insured Policy # Group # Phone # Rx Drug Card # Secondary Insurance Insured Policy # Group # TAPE PRESCRIPTION HERE PRIOR TO FAXING REFERRAL, OR COMPLETE THE FOLLOWING Recommended Starting Dose: See below for dosage Multiple Myeloma: The recommended starting dose of THALOMID is 200 mg/day orally with water for a 28-day treatment cycle. Dosing is continued or modified based upon clinical and laboratory findings. Erytherna Nodosum Leprosum: The recommended starting dose of THALOMID is 100 to 300 mg/day with water for an episode of cutaneous ENL. Up to 400 mg/day for severe cutaneous ENL. Dosing is continued or modified based upon clinical and laboratory findings. THALOMID Phone # Dose Quantity Directions Rx Drug Card # ¨ 50 mg ¨ 100 mg ¨ 150 mg ¨ 200 mg ¨ Dispense as Written ¨ Substitution Permitted NO REFILLS ALLOWED (Maximum Quantity = 28 days) Prescriber Signature Date Authorization # Date (To be filled in by healthcare provider) Pharmacy Confirmation # Date (To be filled in by pharmacy) For further information on THALOMID, please refer to the full Prescribing Information How to Fill a THALOMID® (thalidomide) Prescription
Please see xxx. Xxxxxxx.xxx/XxxxxxxxXxxxxxx for the list of pharmacy participants Information about THALOMID and the THALOMID REMS® program can be obtained by calling the Celgene Customer Care Center toll-free at 0-000-000-0000, or at xxx.XxxxxxxXxxxXxxxxxxxxx.xxx.
Please see xxx. Xxxxxx for dress approvals _________ Necklines should have suitable coverage. Low-cut or plunging necklines are unacceptable. _________ The back of the dress should fall above the natural hipline, with sufficient coverage. _________ Dresses with cut-outs will not be permitted _________ Full backless/sideless (cutout) dresses will not permitted _________Dress length or slits should not reveal the leg more than 4 inches above the knee. _________Sheer fabric is not acceptable. _________Two-piece dresses will not be permitted if they show any midriff. _________ Sandals and flip flops are not permitted Dress Code Guidelines: (Males) _________ Tuxedos, suits, khakis pants are permitted. Jeans or shorts will not be permitted. _________ Dress pants or Khaki pants are required. _________ No hats may be worn inside the building, unless appropriate to the attire. _________ Dress shirts must be worn at all times and may not be removed. _________ If your shirt is semi-transparent (ex: white dress shirts), an undershirt must be worn. _________ Pants must be pulled up around your waist at all times. _________ Sandals and flip-flops are not permitted
