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PRIOR AUTHORIZATION REQUEST FORM BM CHP 9.115 Omega3 Acid Ethyl Esters, Viscera Omega3 Acid Ethyl Esters (generic), Viscera Version 12.0 Effective Date 9/15/2016 Phone: 8885660008 Fax back to: 8664143453

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What is 115 omega-3 acid ethyl?

115 omega-3 acid ethyl is a type of omega-3 fatty acid ethyl ester used as a dietary supplement.

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The purpose of 115 omega-3 acid ethyl is to provide essential omega-3 fatty acids for improved cardiovascular health.

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Information such as product name, ingredients, dosage, intended use, warnings, and manufacturing details must be reported on 115 omega-3 acid ethyl.

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