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09/01/2016 Prior Authorization AETNA BETTER HEALTH OF VIRGINIA Tranexamic acid VA88 This fax machine is located in a secure location as required by HIPAA regulations. To take ANY of the following A Oral combination hormonal cycle agents B Oral progesterone C D medroxyprogesterone injection DepoProvera If yes please list which agents have been tried 6. 2. Has the patient had a significant decrease in menstrual bleeding No further questions. 3. Is the medication requested to treat cyclic heavy...
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How to fill out va tranexamic acid pa
How to fill out va tranexamic acid pa
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What is va tranexamic acid pa?
Va tranexamic acid pa is a form used to report the purchase and distribution of tranexamic acid in the state of Virginia.
Who is required to file va tranexamic acid pa?
Pharmaceutical companies and distributors are required to file va tranexamic acid pa.
How to fill out va tranexamic acid pa?
Va tranexamic acid pa can be filled out online through the Virginia Department of Health website or by submitting a paper form.
What is the purpose of va tranexamic acid pa?
The purpose of va tranexamic acid pa is to monitor the distribution of tranexamic acid to prevent misuse or diversion.
What information must be reported on va tranexamic acid pa?
Va tranexamic acid pa requires information on the quantity of tranexamic acid purchased, distributed, and any discrepancies or losses.
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