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ANADROL50 NC STANDARD
(Oxymetholone)
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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Request prior review is a procedure where a certain action or decision needs to be approved before it can be carried out.
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Certain individuals or organizations may be required to file a request prior review, depending on the specific requirements set forth by the governing body.
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