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Texas Standard Prior Authorization Form Addendum Molina Healthcare of Texas Cough/Cold Medications (Children 6 to 12 years of age) This fax machine is located in a secure location as required by HIPAA

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What is coughcold medications?

Cough and cold medications are used to relieve symptoms such as coughing, congestion, and runny nose associated with the common cold or respiratory infections.

Who is required to file coughcold medications?

Manufacturers, distributors, and retailers of cough and cold medications are required to file coughcold medications.

How to fill out coughcold medications?

Cough and cold medications must be filled out with accurate information regarding the products being sold, distributed, or manufactured.

What is the purpose of coughcold medications?

The purpose of cough and cold medications is to provide relief from symptoms associated with the common cold or respiratory infections.

What information must be reported on coughcold medications?

Information such as the name of the medication, active ingredients, dosage instructions, and potential side effects must be reported on cough and cold medications.

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