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Medicines Special Approval Form
Attention: This form is only to be used by the institutions under the Ministry of Health Malaysia. For applications by private or other than MOH institutions please visit this link.
These forms are used to obtain and use medicines that require special approval from the Director General of Health Malaysia or Senior Director of Pharmaceutical Services. These forms are based on the Garis Panduan Permohonan Memperolehi dan Menggunakan Ubat-ubatan Yang Memerlukan Kelulusan Khas Ketua Pengarah Kesihatan (KPK) / Pengarah Kanan Perkhidmatan Farmasi (PKPF) which was updated in August 2016.
- Borang Permohonan Memperoleh dan Menggunakan Ubat Kelulusan Khas Ketua Pengarah Kesihatan (KPK) / Pengarah Kanan Perkhidmatan Farmasi (PKPF) Individu – Borang BPF/103-KPK01(Pindaan 4.0)
- Borang Permohonan Memperoleh dan Menggunakan Ubat Kelulusan Khas Ketua Pengarah Kesihatan (KPK) / Pengarah Kanan Perkhidmatan Farmasi (PKPF) Stok – Borang BPF/103-KPK01S
- Borang Keizinan Untuk Menjalani Rawatan dengan Ubat/Indikasi tidak berdaftar di mana-mana Badan Regulatori Dunia
- Format Laporan Justifikasi Permohonan Ubat Kelulusan Khas KPK / PKPF.
- Borang Pemonitoran Individu
- Borang Senarai Semak Permohonan
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