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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191COLONY STIMULATING FACTORS PRIOR AUTHORIZATION Formation authorization guidelines for Colony
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Colony stimulating factors form is a document used to report information about the use of colony stimulating factors in medical treatment.
Healthcare providers and facilities that administer colony stimulating factors are required to file the form.
The form can be filled out electronically or manually, following the instructions provided by the relevant regulatory agency.
The purpose of the form is to track the use of colony stimulating factors and ensure their proper administration.
Information such as patient demographics, drug dosage, administration date, and healthcare provider details must be reported on the form.
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