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Constipation Agents Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may contain multiple pages.
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Constipation agents are medications or treatments used to relieve constipation.
Healthcare providers are required to file constipation agents information on uhcprovidercom.
To fill out constipation agents on uhcprovidercom, healthcare providers need to provide information about the prescribed medication or treatment for constipation.
The purpose of constipation agents on uhcprovidercom is to track and monitor the use of constipation medications or treatments.
Healthcare providers must report the name of the medication, dosage, frequency of use, and duration of treatment for constipation agents on uhcprovidercom.
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