Form 8820 - Orphan Drug Credit Page 2

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2
Form 8820 (Rev. 12-2012)
Page
Part II
Orphan Drug Information (see instructions)
(d)
(a)
(b)
(c)
Date drug designated
Name of orphan drug
Designation application number
(mm/dd/yyyy)
7a
b
c
d
e
f
g
h
i
j
k
l
m
n
o
p
q
r
s
t
u
v
w
x
y
z
8820
Form
(Rev. 12-2012)

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