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Express Scripts Phone 8004178164 Fax 8778375922 (alfa2b) Prior Authorization Form Last Name First Name Home Phone Home Address Work Phone City State SCAN ID number ZIP Date of Birth Prescribers Name

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What is peg-intron express scripts alfa-2b?

Peg-Intron Express Scripts alfa-2b is a medication used to treat chronic hepatitis C.

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Healthcare providers are required to file peg-intron express scripts alfa-2b for their patients who are prescribed this medication.

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Information such as patient details, dosage recommendations, and administration instructions must be reported on peg-intron express scripts alfa-2b.

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