FDA issues lamotrigine (Lamictal®) warning

On April 25, 2018, the U.S. Food and Drug Administration (FDA) issued a warning that the medicine lamotrigine (Lamictal) can cause a rare but very serious reaction known as hemophagocytic lymphohistiocytosis (HLH).

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Cardiology - Application for Echocardiography

This form is an application for Echocardiography.

Election Form - Installment Payments for Maternity Services

Participating and non-participating obstetrical providers use this form to request payment on an installment basis for maternity services rendered during the term of a covered Horizon BCBSNJ member’s pregnancy. ID: 7145

Enrollment Form - Synagis

This form is used to enroll patients in the CVS Caremark Synagis program to treat Respiratory Syncytial Virus (RSV). ID: 19934