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Biologic Immunomodulators NC StandardILUMYA
PRIOR REVIEW/CERTIFICATION FATBACK FORM
INCOMPLETE FORMS MAY DELAY PROCESSING
ALL NC PROVIDERS MUST PROVIDE THEIR 5DIGIT Blue Cross NC PROVIDER ID# BELOW
PRESCRIBER
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What is biologic immunomodulators - nc?
Biologic immunomodulators - nc are biologic substances that modify the immune system for therapeutic purposes.
Who is required to file biologic immunomodulators - nc?
Healthcare providers and facilities are required to file biologic immunomodulators - nc.
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Biologic immunomodulators - nc can be filled out online or through a paper form provided by the regulatory authority.
What is the purpose of biologic immunomodulators - nc?
The purpose of biologic immunomodulators - nc is to track and monitor the use of immunomodulating biologic drugs for regulatory and safety purposes.
What information must be reported on biologic immunomodulators - nc?
Information such as patient demographics, prescriber information, drug details, and adverse reactions must be reported on biologic immunomodulators - nc.
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