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Get the free Sedative Hypnotics PEAP form 01-31-17 - DHS.pa.gov

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Sedative Hypnotics Arizona Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may contain multiple
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Sedative hypnotics peap form is a form used to report information on sedative hypnotic medications being prescribed by healthcare providers.
Healthcare providers who prescribe sedative hypnotic medications are required to file the sedative hypnotics peap form.
To fill out the sedative hypnotics peap form, healthcare providers must accurately report information on the sedative hypnotic medications they prescribe.
The purpose of the sedative hypnotics peap form is to monitor and track the prescription of sedative hypnotic medications for safety and regulatory purposes.
Information such as the patient's name, the prescribed medication, dosage, duration of prescription, and healthcare provider's information must be reported on the sedative hypnotics peap form.
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