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PHARMACY / MEDICAL POLICY 5.01.578Edaravone (Radical) Effective Date:July 1, 2017RELATED MEDICAL POLICIES:Last Revised:June 13, 2017NoneReplaces:N/Select a hyperlink below to be directed to that section.
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Pharmacy medical policy 5 outlines guidelines and procedures for pharmacy services and medications covered by the insurance provider.
Healthcare providers and pharmacies are required to file pharmacy medical policy 5.
Pharmacy medical policy 5 can be filled out online or by submitting a paper form with the required information.
The purpose of pharmacy medical policy 5 is to ensure proper utilization of pharmacy services and medications while controlling costs.
Information such as patient demographics, prescribed medications, quantity dispensed, and prescriber information must be reported on pharmacy medical policy 5.
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