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MICHIGAN Department Of Community Health Pharmacy Program Prior Authorization Request ADD/ADHD Therapy For Recipients Over Age 17 Years All information on this form must be addressed. Incomplete forms

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What is mark as na if?

Mark as NA (Not Applicable) is used to indicate that a certain question or section does not apply to the entity or individual filling out the form.

Who is required to file mark as na if?

Any entity or individual that is filling out a form and encounters a question or section that does not apply to them is required to mark it as NA.

How to fill out mark as na if?

To fill out mark as NA, simply check the box or write NA in the designated space on the form where the question or section that does not apply is located.

What is the purpose of mark as na if?

The purpose of marking as NA is to provide accurate and complete information on a form by indicating which questions or sections do not apply to the entity or individual.

What information must be reported on mark as na if?

Marking as NA does not require reporting any specific information, it simply indicates that a question or section does not apply.

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