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Blue Line Club Membership Application 2016×2017 (form also available online) www.msublueline.org (Please Print) Name: Address: City: Zip Code: Email Address:*Telephone #:MEMBERSHIP: Renewal ___ New
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Visit the website msublueline.org
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Click on the 'Membership' tab
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Select the option for 'Accutane'
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The cost per pill for Accutane can vary, but it is typically around $300 to $400 per pill.
Patients who are prescribed Accutane are required to file the cost per pill for insurance reimbursement purposes.
To fill out the cost per pill for Accutane, patients need to provide their insurance information, prescription details, and receipt for the medication.
The purpose of reporting the cost per pill for Accutane is to ensure that patients are properly reimbursed by their insurance company for the medication.
Patients must report the date of purchase, prescription details, cost per pill, insurance information, and any other relevant details.
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