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Instructions Only pharmacy providers can complete this form. Use this form to request an adjustment of a Maximum Allowable Cost (MAC) drug price. Drug purchase invoice(s) and all supporting documentation
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01
Gather all necessary information for filling out the instructions, such as patient details, medication information, and prescribing doctor's details.
02
Check the prescription for accuracy and make sure it complies with all legal requirements.
03
Fill out the instructions clearly and legibly, using the correct abbreviations and symbols as needed.
04
Double-check the instructions for any errors before issuing the medication to the patient.
05
Store a copy of the instructions for your records and keep them in a secure and confidential location.

Who needs instructions only pharmacy providers?

01
Pharmacy providers who are responsible for dispensing medication and following prescribed instructions need to be familiar with how to fill out instructions accurately and safely.
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Instructions only pharmacy providers are pharmacy providers that solely provide medication instructions without dispensing medications to patients.
Pharmacy providers who only provide medication instructions are required to file instructions only pharmacy providers.
Instructions only pharmacy providers can be filled out by providing the necessary information about the medication instructions being provided.
The purpose of instructions only pharmacy providers is to ensure that patients receive proper medication instructions even if they do not get the medication directly from the pharmacy.
The information reported on instructions only pharmacy providers must include details about the medication instructions provided and the patient receiving the instructions.
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