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TOPICAL ACNE AGENTS PA FORM Fax Completed Form to: 866-254-0761 For questions regarding this Prior authorization, call 866-773-0695 Prior Authorization Vendor for ND Medicaid requires that patients
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What is topical acne agents pa?
Topical acne agents pa are medications or products that are applied to the skin to treat acne. They can include creams, gels, lotions, or solutions that contain ingredients such as benzoyl peroxide or salicylic acid.
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