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Prior Authorization Request Form for Diclofenac sodium 2% topical solution ()MAIL ORDER and Retail be completed and signed by the prescriber. Step1Step2Please fax completed form back to: (207) 8287816
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First, wash your hands with soap and water.
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Diclofenac sodium 2 topical is a medication used to treat pain and inflammation.
Healthcare professionals such as doctors or pharmacists are required to prescribe and dispense diclofenac sodium 2 topical.
Diclofenac sodium 2 topical is typically applied directly to the affected area of the skin according to the instructions provided by a healthcare professional.
The purpose of diclofenac sodium 2 topical is to reduce pain and inflammation in the specific area of the body where it is applied.
Information such as the patient's name, dosage of the medication, frequency of application, and any side effects experienced must be reported when using diclofenac sodium 2 topical.
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