Other exceptional circumstances forms
A handful of medicines require a different form.
Download the relevant exceptional circumstances form
- Alpha tocopheryl acetate (vitamin E) with/or retinol (vitamin A) funding application form [PDF 221 KB]
- Lamotrigine exceptional circumstances form [DOC 113 KB]
- Multiple sclerosis MS application for grandparented patients [PDF 105 KB]
- Paediatric oncology/haematology notification form [PDF 342 KB]
- Prednisolone oral liquid funding application [PDF 255 KB]
From 1 March 2021, ivacaftor funding applications follow the standard Special Authority process.