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It Also Includes A Worksheet For Patients To Note Information About Their Health.
Web xolair is indicated for the treatment of adults and adolescents 12 years of age and older with chronic idiopathic urticaria who remain symptomatic despite h1 antihistamine. This form is for prospective, concurrent,. Both the prescriber service form and the patient consent form must be received before xolair access solutions. Please print and complete the forms below.
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