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Please complete ALL information below and fax your request to 18886715285MS Contain & extended release (ER) tablet Contacting Opioid Prior Authorization Request Form (Page 1 of 2) DO NOT COPY FOR
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What is ms contin amp extended-release?
Ms contin amp extended-release is a prescription medication that contains morphine sulfate and is used to treat severe pain.
Who is required to file ms contin amp extended-release?
Healthcare providers or pharmacies are required to file ms contin amp extended-release when dispensing the medication to patients.
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To fill out ms contin amp extended-release, healthcare providers must include patient information, dosage instructions, and any relevant medical history.
What is the purpose of ms contin amp extended-release?
The purpose of ms contin amp extended-release is to provide long-lasting pain relief for patients with severe pain.
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Information such as patient name, date of birth, medication dosage, prescribing healthcare provider's information, and dispensing pharmacy details must be reported on ms contin amp extended-release.
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