Nature de la demande
									
										Renouvellement d'inscription
									
									
								 	
												
									                            
								
									
										
											
 
 
  
   Maintien du remboursement dans les mêmes conditions.
   
 
										
										
									
									
								
						 		
						 		
						 			
									
										Service Médical Rendu (SMR)
									
									
										
											
											
												| Important | 
												
													
														
															Le service médical rendu par DIPENTUM reste important dans l’indication de l’AMM.  
														
													 | 
												
											
										
									
									
								
								
								
						 
						 		
						 		
								
						 		
								
	                         
	                     
                 
				
				
    
	 
				
		
				
		
				
		
                
                
                
					
				
				
	
	
                   
					
				
                
                
                
	
                
             
         
     
	
        
  
			
		
	
	
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
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
dqpVA9X2m7bBt5Bk