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Resources

NOTE: Some of the PDF resources below can be edited and Docu-signed to be submitted. Healthcare providers and pharmacies may complete these tasks online via the Healthcare providers and Pharmacy Login.

Healthcare Provider Resources

Prescribing Information 

Program Overview 

Healthcare Provider Designee
Enrollment Form 

Education Program for Healthcare Providers and Pharmacies 

Healthcare Provider Knowledge
Assessment 

Frequently Asked Questions 

Healthcare Provider
Enrollment Form 

Patient Status Form 

Pharmacy Resources

Prescribing Information 

Program Overview 

Education Program for Healthcare Providers and Pharmacies 

Pharmacy Authorized Representative Knowledge Assessment 

Pharmacy Enrollment Form 

Drug Interaction and Counseling Checklist for Pharmacies 

Patient Resources

Patient Brochure 

Folleto para el paciente 

Patient Enrollment Form 

Formulario de inscripción de pacientes 

Medication Guide 

Guía del medicamento 

References

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