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Customer Information Form Dear Valued Customer: Please take a few moments to fill out and return this Customer Information Form so that we may serve you better. When completed please email to: DL.COLLECTIONS@BENCO.COM
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How to fill out prescription drug return authorization

How to fill out prescription drug return authorization
01
Obtain a return authorization form from the pharmacy or drug manufacturer.
02
Fill out the form with your name, contact information, prescription details, and reason for the return.
03
Include any supporting documentation such as a copy of the original prescription or receipt.
04
Submit the completed form to the pharmacy or drug manufacturer for approval.
05
Once approved, follow any instructions provided for returning the prescription drugs.
Who needs prescription drug return authorization?
01
Patients who have unused or expired prescription drugs that they need to return.
02
Pharmacies and drug manufacturers who have policies in place for accepting returns of prescription drugs.
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What is prescription drug return authorization?
Prescription drug return authorization is a process that allows for the return of unused or expired prescription drugs to the manufacturer or wholesaler.
Who is required to file prescription drug return authorization?
Healthcare facilities or pharmacies that have unused or expired prescription drugs that need to be returned are required to file prescription drug return authorization.
How to fill out prescription drug return authorization?
To fill out prescription drug return authorization, the healthcare facility or pharmacy must provide details about the unused or expired prescription drugs being returned, including quantity, expiration date, and reason for return.
What is the purpose of prescription drug return authorization?
The purpose of prescription drug return authorization is to ensure proper handling and disposal of unused or expired prescription drugs to prevent misuse or harm.
What information must be reported on prescription drug return authorization?
Information that must be reported on prescription drug return authorization includes the name of the drug, quantity, expiration date, lot number, reason for return, and contact information of the healthcare facility or pharmacy.
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