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Brand Name Multiple Source Prescription Medications Prior Authorization Drug Approval Format of medication request: (MM/DD/YYY): ___ / ___ / ___ Patient information and medication requested Patients
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What is brand name multiple source?
Brand name multiple source is when a brand is available from multiple sources or providers.
Who is required to file brand name multiple source?
The manufacturers or distributors who offer the brand from multiple sources are required to file brand name multiple source.
How to fill out brand name multiple source?
Brand name multiple source can be filled out by providing information about the different sources or providers offering the brand.
What is the purpose of brand name multiple source?
The purpose of brand name multiple source is to ensure transparency and clarity in the market about the availability of a brand from multiple sources.
What information must be reported on brand name multiple source?
The report on brand name multiple source must include details of the sources or providers offering the brand.
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