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REQUEST FOR FUNDING FOR A DRUG, DEVICE OR PROCEDURE EXCLUDED FROM THE PAYMENT BY RESULTS TARIFF For drugs this form only needs to be submitted if the price per course or price p.a. is above 5000.

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What is pharmacy form for?

The pharmacy form is used to gather information about a pharmacy's operations, including details about prescriptions, medications, and inventory.

Who is required to file pharmacy form for?

Pharmacies are required to file the pharmacy form.

How to fill out pharmacy form for?

To fill out the pharmacy form, you need to provide accurate information about your pharmacy's operations, prescriptions, medications, inventory, and any other required details.

What is the purpose of pharmacy form for?

The purpose of the pharmacy form is to ensure compliance with regulations, monitor pharmacy operations, and maintain accurate records.

What information must be reported on pharmacy form for?

The pharmacy form requires information such as prescription numbers, medication details, inventory levels, dispensing data, and other relevant information.

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