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Stimulants and Related Agents Pennsylvania Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may
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Stimulants and related agents are substances that increase physiological or nervous activity in the body.
Manufacturers, distributors, and importers of stimulants and related agents are required to file.
To fill out stimulants and related agents, one must provide detailed information about the substances including quantity, intended use, and safety measures.
The purpose of stimulants and related agents is to regulate and monitor the production and distribution of these substances to ensure safety and compliance.
Information such as the name of the substance, quantity produced, intended use, safety precautions, and distribution channels must be reported.
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