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DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Medicaid Services Wis. Admin. Code DHS 107.10(2) F00162 (07/2024)FORWARDHEALTH PRIOR AUTHORIZATION DRUG ATTACHMENT FOR ISOTROPIC, OMEGA3
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How to fill out lipotropics omega-3 acids

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Consult with a healthcare provider to determine the appropriate dosage for you.
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Take the recommended amount of lipotropics omega-3 acids daily with a full glass of water.
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Lipotropics omega-3 acids are essential fatty acids that play a key role in supporting overall health, particularly in the brain, heart, and joints.
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The purpose of lipotropics omega-3 acids is to support brain function, cardiovascular health, and joint flexibility.
Information such as the brand of the supplement, dosage, frequency of use, and any potential side effects should be reported when filing lipotropics omega-3 acids.
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