---
title: Blue Cross - Tacrolimus (Protopic) - Special Authorization Request; Alberta (AccelEMR)
slug: portal-sub/blue-cross-tacrolimus-protopic-special-authorization-request-alberta-accelemr
docTags: 
createdAt: 2026-03-04T12:03:14.953Z
---

[Blue Cross - Tacrolimus (Protopic) - Special Authorization Request; Alberta (AccelEMR)](https://www.intrahealth.com/sites/default/files/uploads/documents/files/Blue%20Cross%20-%20Tacrolimus%20%28Protopic%29%20-%20Special%20Authorization%20Request%3B%20Alberta%20%28Bundle%29.jfa)Health RegionProvincialProvinceAlberta

:::hint{type="success"}
Submitted by AccelEMR

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/4hQmjqN4TQxhhqRknKOI4_6pi4wlkef3bh5kvloshqsbqpvmk9g-i8ca.png" size="88" isUploading="false" initialPath="assets/6Pi4wlkEf3bH5KvlosHqsbQPVMK9G-I8CA.png" githubPath="en/Forms/Published Forms - Alberta/assets/6Pi4wlkEf3bH5KvlosHqsbQPVMK9G-I8CA.png" position="flex-start" showCaption="false"}
:::

::Image[]{src="https://api.qa.archbee.co/api/optimize/zICxj0dnLereb6UUrBA3-/w6p0G9nhamVRSD3ldwiXb_1ryj0lfw9ijvxfjveuynpmohixal9c1gw.png" size="88" isUploading="false" initialPath="assets/1rYJ0LfW9IJvxFjVEuYnPmoh_ixal9c1gw.png" githubPath="en/Forms/Published Forms - Alberta/assets/1rYJ0LfW9IJvxFjVEuYnPmoh_ixal9c1gw.png" position="flex-start" showCaption="false"}

***

## Attachments

::File{src="https://api.qa.archbee.co/api/presign/zICxj0dnLereb6UUrBA3-/ag7IHNuGOoOPdv_fegdAs_6000267741-blue-cross-tacrolimus-protopic-special-authorization-request-alberta-bundle.jfa" label="Blue Cross - Tacrolimus _Protopic_ - Special Authorization Request_ Alberta _Bundle_.jfa" initialPath="../../../attachments-export/6000267741-Blue%20Cross%20-%20Tacrolimus%20_Protopic_%20-%20Special%20Authorization%20Request_%20Alberta%20_Bundle_.jfa" githubPath="attachments-export/6000267741-Blue Cross - Tacrolimus _Protopic_ - Special Authorization Request_ Alberta _Bundle_.jfa"}

::File{src="https://api.qa.archbee.co/api/presign/zICxj0dnLereb6UUrBA3-/xizA6JihjUZzi_R_a_b_p_6000267741-blue-cross-tacrolimus-protopic-special-authorization-request-alberta.pdf" label="Blue-Cross-Tacrolimus-Protopic-Special-Authorization-Request-Alberta.pdf" initialPath="../../../attachments-export/6000267741-Blue-Cross-Tacrolimus-Protopic-Special-Authorization-Request-Alberta.pdf" githubPath="attachments-export/6000267741-Blue-Cross-Tacrolimus-Protopic-Special-Authorization-Request-Alberta.pdf"}