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5ml Pushtronex system OTHER QTY Refills Inject 420mg SC once a month Inject three 140mg/ml injections consecutively within 30 minutes Inject single use Pushtronex system on body with prefilled cartridge 1 Pack 8 PRESCRIBER SIGNATURE I authorize pharmacy to act as my designee for initiating and coordinating insurance prior authorizations nursing services and patient assistance programs. 0110416 Office Contact Phone Height Weight Allergies Specialty Cardiology Lipidology Other Fibrates...
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