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The Transmucosal Immediate Release (TIRE) REMS Access Program Outpatient Pharmacy Enrollment Form page 1 of 5 For real-time processing of this enrollment form electronically, please go to www.TIRFREMSaccess.com
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What is outpatient pharmacy enrollment form?
The outpatient pharmacy enrollment form is a document that allows pharmacies to enroll as providers in the outpatient pharmacy network.
Who is required to file outpatient pharmacy enrollment form?
Pharmacies that wish to participate in the outpatient pharmacy network are required to file the enrollment form.
How to fill out outpatient pharmacy enrollment form?
The outpatient pharmacy enrollment form can be filled out by providing the required information such as pharmacy name, address, contact details, and any other requested information.
What is the purpose of outpatient pharmacy enrollment form?
The purpose of the outpatient pharmacy enrollment form is to gather necessary information from pharmacies who wish to participate in the outpatient pharmacy network.
What information must be reported on outpatient pharmacy enrollment form?
The outpatient pharmacy enrollment form may require pharmacies to report information such as pharmacy license number, owner information, services provided, and any other relevant information.
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