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/AM RIX PRIOR AUTHORIZATION REQUEST PRESCRIBER FAX FORM ONLY the prescriber may complete and fax this form. This form is for prospective, concurrent, and retrospective reviews. Incomplete forms will

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Obtain the compound - exception request form from the appropriate department or office.

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Individuals or entities who require special permission or allowances for using a compound in a way that deviates from standard procedures or regulations.

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What is compound - exception request?

Compound - exception request is a formal request made to report exceptional circumstances that justify a late or incomplete filing of compounds.

Who is required to file compound - exception request?

Any individual or entity who is unable to meet the original deadline for filing compounds is required to file compound - exception request.

How to fill out compound - exception request?

Compound - exception request can be filled out by providing a detailed explanation of the exceptional circumstances, supporting documentation, and proposed resolution.

What is the purpose of compound - exception request?

The purpose of compound - exception request is to allow filers to explain and justify any delays or shortcomings in the filing of compounds.

What information must be reported on compound - exception request?

The information that must be reported on compound - exception request includes reasons for the late or incomplete filing, supporting documentation, and proposed solutions.

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