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AntiHepatitis C Prescription/Referral Former: (877) 2469104 Fax: (888) 9638122 www.biotekrx.comPlease complete this form (Print) in its entirely. Be sure to include any necessary documentation, labs,

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What is anti-hepatitis c?

Anti-hepatitis C refers to medications or treatments used to combat the hepatitis C virus.

Who is required to file anti-hepatitis c?

Patients diagnosed with hepatitis C or healthcare providers prescribing the treatment are required to file anti-hepatitis C.

How to fill out anti-hepatitis c?

Anti-hepatitis C can be filled out by providing information about the patient's medical history, current medications, and any side effects experienced.

What is the purpose of anti-hepatitis c?

The purpose of anti-hepatitis C is to treat and cure the hepatitis C virus infection.

What information must be reported on anti-hepatitis c?

Information such as the patient's name, date of birth, medical history, current medications, and any side effects must be reported on anti-hepatitis C.

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