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The Compound Drug Pharmacy Claim Form (304) is used by pharmacies to bill Medical for multiple ingredient compound drug prescriptions and single ingredient sterile transfers. Ingredients that do not
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Ingredients that do not refer to the components or substances that are exempt from reporting requirements.
Only the companies or individuals who manufacture or use substances that are not required to be reported must file ingredients-that-do-not forms.
To fill out ingredients that do not forms, companies or individuals must list the exempt substances and provide the reason for why they are not required to be reported.
The purpose of ingredients-that-do-not forms is to exempt certain substances from reporting requirements based on specific criteria.
The information that must be reported on ingredients-that-do-not forms includes the names of the exempt substances and the rationale for why they are exempt.
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