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Fax completed prior authorization request form to 8008547614 or submit Electronic Prior Authorization through CoverMyMeds or Subscripts. All requested data must be provided. Incomplete forms or forms
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Individuals or organizations who are required to request concomitant antipsychotic medication from the Medicines Control Authority of Zimbabwe (MCAZ) and the Department of Curative Services and Clinical Hospital Pharmacy (DCSCHP) may need the concomitant-antipsychotic-request-form-mcaz-dcschp accessible pdf. This form is specifically needed by those who want to request and acquire antipsychotic medications along with other necessary information from the mentioned authorities.
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This is a form used to request concomitant antipsychotic medication, accessible in PDF format.
Patients or healthcare providers who are requesting concomitant antipsychotic medication must file this form.
The form should be completed with relevant patient and medication information, signed by the healthcare provider, and submitted as directed.
The purpose of this form is to ensure proper documentation and approval for the use of concomitant antipsychotic medication.
The form may require information such as patient details, current medications, reason for concomitant antipsychotic use, and healthcare provider information.
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