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CONTAINS CONFIDENTIAL PATIENT INFORMATION Indra (lifitegrast) Complete form in its entirety and fax to: Prior Authorization of Benefits (PAB) Center at 18668076241 1. PATIENT INFORMATION 2. PHYSICIAN
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The complete form in its stands for Information Technology System.
All employees who work with the Information Technology System are required to file the complete form.
Employees need to provide accurate information about their IT activities and usage in the organization.
The purpose of the complete form is to gather information about how IT systems are being used within the organization.
Employees must report their IT activities, software usage, hardware issues, and any security incidents.
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