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For assistance, contact your pharmacy representative: ___ Phone: ___ (For providers only) Note: This form is intended for prescriber use only, if faxed, the fax must come from MD office or hospital
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What is multiple sclerosiswalgreens?
Multiple sclerosiswalgreens is a neurological disease that affects the central nervous system.
Who is required to file multiple sclerosiswalgreens?
Patients diagnosed with multiple sclerosis are required to file multiple sclerosiswalgreens.
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To fill out multiple sclerosiswalgreens, patients need to provide information about their medical history, symptoms, and any treatments they are currently undergoing.
What is the purpose of multiple sclerosiswalgreens?
The purpose of multiple sclerosiswalgreens is to help healthcare professionals diagnose and monitor the progression of the disease.
What information must be reported on multiple sclerosiswalgreens?
Information such as patient demographics, medical history, symptoms, and treatment plans must be reported on multiple sclerosiswalgreens.
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