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MS Oral Agents Patient Information male patient: last name, female DOB: SS#: first name address: streetcityprimary phone number: statecellzipalternate phone number: cell caregiver: allergies: comorbidities:
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What is ms oral agents?
Ms oral agents are medications designed to be taken by mouth.
Who is required to file ms oral agents?
Individuals prescribed ms oral agents by their healthcare provider are required to file.
How to fill out ms oral agents?
To fill out ms oral agents, individuals must provide information about the medication prescribed and their healthcare provider.
What is the purpose of ms oral agents?
The purpose of ms oral agents is to treat multiple sclerosis symptoms and slow disease progression.
What information must be reported on ms oral agents?
Information such as the name of the medication, dosage, frequency of use, and prescribing healthcare provider must be reported on ms oral agents.
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