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Page 1 of 6 THE UNIVERSITY HOSPITALS AND CLINICS THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Jackson Mississippi Pharmacy and Therapeutics Committee FORMULARY ADDITION REQUEST FORM Instructions for Use 1 Attending physicians on staff at UMC and Director of Pharmacy may request additions to the medication formulary. 2 The information requested in this form must be completed and submitted to the Chair of the UMC Pharmacy and Therapeutics Committee...
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