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DISPENSING LIMIT OVERRIDE PHYSICIAN FAX FORM ONLY the prescriber may complete and fax this form. Incomplete forms will be returned for additional information. The following documentation is required
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Dispensing limit override is a process where a prescriber can authorize a pharmacy to dispense a medication in excess of the normal limits set by insurance or regulatory agencies.
Healthcare providers such as doctors, nurse practitioners, or physician assistants may be required to file dispensing limit overrides.
To fill out a dispensing limit override, the prescriber must provide the necessary information such as patient details, medication information, reason for the override, and any supporting documentation.
The purpose of dispensing limit override is to allow patients to receive the medication they need in cases where the standard limits may not be sufficient for their treatment.
The information needed for a dispensing limit override may include patient name, date of birth, medication name and strength, prescriber information, reason for override, and any other relevant details.
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