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PRIOR AUTHORIZATION FORM Topical Commercial Unless otherwise indicated below, authorization quantities are limited to the manufacturer recommended dosagePhone: 8014424912 or 8004423129Fax back to:
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Start by providing your personal information, such as your name, address, and contact details.
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Topical - commercial refers to advertising or promotional material that is directly related to the goods or services being offered by a company.
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Topical - commercial can be filled out by providing information about the goods or services being advertised, including details about the company, contact information, and any relevant disclaimers.
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