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Antidepressants Washington Prior Authorization Request Form Please complete this entire form and fax it to: 8669407328. If you have questions, please call 8003106826. This form may contain multiple
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Antidepressants - Washington Prior is a form used to report information about antidepressant medications prescribed to patients in Washington.
Healthcare providers who prescribe antidepressant medications in Washington are required to file Antidepressants - Washington Prior.
Antidepressants - Washington Prior can be filled out electronically or on paper. Healthcare providers need to provide information about the patient, medication prescribed, and the reason for the prescription.
The purpose of Antidepressants - Washington Prior is to monitor the prescribing of antidepressant medications to ensure safe and appropriate use.
Information such as patient demographics, medication name, dosage, frequency, quantity prescribed, and the prescriber's information must be reported on Antidepressants - Washington Prior.
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