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Vowel ()Fax completed form to: (855) 8401678 If this is an URGENT request, please call (800) 8824462 (800.88.CHINA)PHYSICIAN INFORMATION * Physician Name: Specialty:* DEA, NPI or TIN:PATIENT INFORMATION

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Evomela 50mg vial is a formulation of melphalan, used as a chemotherapy medication primarily for the treatment of multiple myeloma.

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Healthcare providers and organizations administering Evomela, as well as pharmacies involved in its distribution, are typically required to file relevant information.

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To fill out the Evomela 50mg vial, healthcare professionals should follow the manufacturer's guidelines regarding dosage preparation, labeling, and safety precautions. It is important to ensure proper handling of cytotoxic agents.

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The purpose of Evomela 50mg vial is to serve as a chemotherapeutic agent in the treatment of multiple myeloma and other specific cancers by inhibiting cell division.

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Information that must be reported includes batch number, expiry date, dosage, and any adverse effects encountered during the use of the medication.

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