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Select the diagnosis below Diabetes Mellitus Other diagnosis Medication history For Novolin N requests please answer the following Does the member have a history of therapeutic failure contraindications or intolerance to Humulin N Yes No If yes please check the duration of trial 3 months or 30 days Please list the reason for therapeutic failure contraindication or intolerance to Humulin N For Novolin 70/30 requests please answer the following This document and others if attached contain...
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