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STATE OF NEW HAMPSHIRE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH SERVICES
NH PRESCRIPTION DRUG MONITORING PROGRAM Lori A. Robinette
Commissioner29 HAVEN DRIVE, CONCORD, NH
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Who needs pdmp-waiver-requestpdf?
01
Individuals who are seeking a waiver for accessing PDMP data in the state of Washington
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What is pdmp-waiver-requestpdf?
pdmp-waiver-requestpdf is a form used to request a waiver for participation in the Prescription Drug Monitoring Program (PDMP).
Who is required to file pdmp-waiver-requestpdf?
Healthcare providers who are unable to comply with PDMP reporting requirements are required to file pdmp-waiver-requestpdf.
How to fill out pdmp-waiver-requestpdf?
pdmp-waiver-requestpdf can be filled out by providing information about the reasons for the waiver request and any supporting documentation.
What is the purpose of pdmp-waiver-requestpdf?
The purpose of pdmp-waiver-requestpdf is to request a waiver from participating in the PDMP due to specific circumstances.
What information must be reported on pdmp-waiver-requestpdf?
pdmp-waiver-requestpdf must include details about the healthcare provider, the reasons for the waiver request, and any supporting documentation.
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