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HEALTH PARTNERS PLANS PRIOR AUTHORIZATION REQUEST FORMBuprenorphine Med Assisted Treatment Renewal Phone: 2159914300Fax back to: 8662403712Health Partners Plans manages the pharmacy drug benefit for
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To fill out the number of refills, follow these steps:
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Who needs number of refills?
01
Number of refills is needed by individuals who require prescription medications that can be refilled multiple times.
02
This information is essential for patients, pharmacists, and healthcare providers who need to track the availability and quantity of refills for a particular prescription.
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What is number of refills?
The number of refills refers to the amount of times a prescription medication can be refilled before a new prescription is needed.
Who is required to file number of refills?
Pharmacists or healthcare providers are responsible for filling out the number of refills on a prescription.
How to fill out number of refills?
The number of refills can be filled out on a prescription by indicating the number of times the medication can be refilled.
What is the purpose of number of refills?
The purpose of specifying the number of refills is to ensure that patients do not exceed the prescribed amount of medication without consulting their healthcare provider.
What information must be reported on number of refills?
The number of refills must include the specific number of times the prescription can be refilled, typically indicated by a number such as '3' or '5'.
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