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Multipurpose Service Medication Management Review Program APPLICATION FORM Important Information Please complete this form to register as a Medication Management service provider for a multipurpose
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Multipurpose service medication is a type of medication that can be used to treat multiple conditions or symptoms.
Healthcare providers or pharmacies are required to file multipurpose service medication.
Multipurpose service medication can be filled out by documenting the patient's information, the medication prescribed, and the dosage instructions.
The purpose of multipurpose service medication is to provide patients with a medication that can treat multiple conditions effectively.
Information such as patient name, medication prescribed, dosage instructions, and healthcare provider information must be reported on multipurpose service medication.
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