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UNIFORM PHARMACY PRIOR AUTHORIZATION REQUEST FORM CONTAINS CONFIDENTIAL PATIENT INFORMATION Complete this form in its entirety and send to Rocky Mountain Health Plans at 8583572538 Initial Request
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How to fill out nasal spray - rocky:

01
Remove the cap from the nasal spray bottle.
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Shake the bottle gently to ensure the contents are well mixed.
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Insert the tip of the nasal spray into the other nostril, aiming towards the back of your nose.
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Breathe in gently through your nose as you squeeze the bottle to release the spray.
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Nasal spray - rocky is a medication that is sprayed into the nostrils to help with congestion and other nasal issues.
Any individual or company involved in the production or distribution of nasal spray - rocky is required to file.
Nasal spray - rocky can be filled out by providing information on the ingredients, manufacturing process, and packaging of the medication.
The purpose of nasal spray - rocky is to provide relief for nasal congestion and other related issues.
Information such as ingredients, manufacturing process, packaging, and any potential side effects must be reported on nasal spray - rocky.
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