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Get the free ArymoTM ER Long-Acting Opioid Prior Authorization Request Form (Page 1 of 3)

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Please complete ALL information below and fax your request to 18886715285ArymoTM ER Contacting Opioid Prior Authorization Request Form (Page 1 of 3) DO NOT COPY FOR FUTURE USE. FORMS ARE UPDATED FREQUENTLY
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Arymotm er long-acting opioid is a medication used for long-lasting pain relief.
Healthcare professionals are required to file arymotm er long-acting opioid prescriptions.
Arymotm er long-acting opioid can be filled out by prescribing physicians following proper medical guidelines.
The purpose of arymotm er long-acting opioid is to provide extended pain relief for patients.
Information such as patient name, dosage, frequency, and prescribing physician must be reported on arymotm er long-acting opioid.
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