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Document adverse effects requiring discontinuation and/or reason for perceived ineffectiveness. Please address why all formulary alternatives on any tier of the formulary for treatment of the same condition would not be effective or would cause adverse effects. Attach additional pages if necessary. If all formulary agents would not be effective please specify prior treatment failures If patient preference for nonformulary drug please...
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What is y0067 rx nonfrmlyexcpform 0113?
y0067 rx nonfrmlyexcpform 0113 is a specific tax form used for reporting certain types of income or transactions.
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y0067 rx nonfrmlyexcpform 0113 requires reporting of specific income or transactions as outlined by the tax authorities.
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