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NAPROXEN / OMEPRAZOLE () OR IBUPROFEN/ FAMOTIDINE () PRIOR REVIEW/CERTIFICATION FATBACK FORM INCOMPLETE FORMS MAY DELAY PROCESSING ALL NC PROVIDERS MUST PROVIDE THEIR 5-DIGIT BCB SNC PROVIDER ID#
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Fax form April is a specific form that needs to be completed and submitted during the month of April. It is used for fax communication purposes in various industries.
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