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PHARMACY COVERAGE GUIDELINES SECTION: DRUGSORIGINAL EFFECTIVE DATE: LAST REVIEW DATE: LAST CRITERIA REVISION DATE: ARCHIVE DATE:03/17/16 02/21/19 02/21/19TYKERB () oral tablet Coverage for services,

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The purpose of an oral tablet is to deliver medication in a controlled manner to achieve therapeutic effects.

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Information that must be reported includes dosage, frequency, patient identification, and prescribing physician details.

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