Formulaire

Bizonal Order (Form 14465*01)

National Health Insurance Fund (Cnam) - Cerfa n° 14465*01
Autre numéro : S3321b

Special prescription, used by the doctor to distinguish between medicines and tests related to your long-term condition (ALD) and taken care of 100% and those related to other diseases, supported at the usual reimbursement rates.

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    Émetteur du formulaire administratif : Directorate for Legal and Administrative Information

    Verified 10 February 2020 - Directorate for Legal and Administrative Information (Prime Minister)