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Multiple Sclerosis Ask “Rx pert underwriter (ask our experts) Producer Phone Fax Client Age×DOB Sex 1. Please list date of first diagnosis. 2. Please indicate the number of episodes and date of
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Multiple sclerosis is a neurological disease that affects the brain and spinal cord.
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Patients diagnosed with multiple sclerosis may be required to fill out quotrxquot for treatment.
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Patients can fill out quotrxquot with the help of their healthcare provider or pharmacist.
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The purpose of quotrxquot for multiple sclerosis is to document the prescribed medications and treatments.
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Information such as the medication name, dosage, frequency, and prescribing healthcare provider must be reported on quotrxquot for multiple sclerosis.
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