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Faxed prescriptions will only be accepted from a prescribing practitioner. Patients must bring an original prescription to the pharmacy. Prescribers are reminded patients may choose any pharmacy of
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What is sublocade prescription referral form?
The sublocade prescription referral form is a document used for healthcare providers to refer a patient for Sublocade medication treatment for opioid use disorder.
Who is required to file sublocade prescription referral form?
Healthcare providers who are treating patients for opioid use disorder and want to refer them for Sublocade medication treatment are required to file the referral form.
How to fill out sublocade prescription referral form?
The sublocade prescription referral form can be filled out by providing patient information, medical history, dosage requirements, and reasons for referral.
What is the purpose of sublocade prescription referral form?
The purpose of the sublocade prescription referral form is to facilitate the referral process for healthcare providers who want to prescribe Sublocade medication treatment for opioid use disorder.
What information must be reported on sublocade prescription referral form?
The sublocade prescription referral form must include patient demographics, medical history, current medications, reason for referral, and healthcare provider information.
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