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Prescriber Criteria Form Marigold HRM HYPNOTICS 2019 PA FAX 1421A V1 010119 .docx High Risk Medications (HRM) Criteria Hypnotics (This HRM List Of Medications Applies To Formulary Drugs Only) (Prior
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HRM Hypnotics PA Fax is a form used for reporting hypnotic drugs prescribed or dispensed in Pennsylvania.
Healthcare providers and pharmacies in Pennsylvania are required to file HRM Hypnotics PA Fax.
HRM Hypnotics PA Fax should be completed with information regarding the hypnotic drugs prescribed or dispensed, and submitted to the appropriate authority.
The purpose of HRM Hypnotics PA Fax is to monitor and regulate the prescribing and dispensing of hypnotic drugs in Pennsylvania.
HRM Hypnotics PA Fax requires information such as patient details, prescriber information, and details of the hypnotic drugs prescribed or dispensed.
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