Get the free FINAL ProviderComplianceForm 1 15 08.doc - medicaid alabama
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Alabama Medicaid Agency Pharmacy Services Division Tamper Resistant Prescriptions Provider Compliance Referral Form Effective April 1 2008 federal law requires that all written non-electronic outpatient Medicaid prescriptions be issued on tamper-resistant prescription paper. This form is designed to assist the Agency in coordinating educational efforts for noncompliant providers in conjunction with provider associations. Fill in the information and fax to 334 353-7014 Submitting Pharmacy...
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