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CONTAINS CONFIDENTIAL PATIENT INFORMATIONGonadotropin Releasing Hormone Analogs (GRH) Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits
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GnRH analogs NTL PAB stands for Gonadotropin-releasing hormone analogs National Drug Code (NDC) Labeler Code Product and Package Code.
Manufacturers or labelers of GnRH analogs are required to file the NTL PAB.
To fill out GnRH analogs NTL PAB, the manufacturer or labeler must provide the required drug code information and package code. This information can usually be obtained through the FDA's Drug Registration and Listing System (DRLS).
The purpose of GnRH analogs NTL PAB is to properly identify and label GnRH analog drugs for tracking and regulatory purposes.
The information that must be reported on GnRH analogs NTL PAB includes the drug code, labeler code, product code, and package code.
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