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NC DUB Pharmacy Request for Prior to Approval Sedative Hypnotics Recipient InformationDMA0022 (V.01)1. Recipient Last Name: 2. First Name: 3. Recipient ID # 4. Recipient Date of Birth: 5. Recipient
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dma-0022 v is a form used for reporting specific financial information.
Entities meeting certain criteria are required to file dma-0022 v.
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The purpose of dma-0022 v is to collect financial data for regulatory purposes.
dma-0022 v requires reporting of specific financial transactions.
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