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USING INJECTABLE (SUBLOCADE):
PRIMARY WAY TO OBTAIN SUBLOCADE: Initiate a benefit investigation by filling out the patient enrollment form and submit to INSUPPORT via fax,
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Sublocade Prior Authorization Form - Maryland.gov
Denied. March 2020. Sublocade. Prior Authorization Form. Office of Pharmacy Services. Fax: (866) 440-9345. Phone: (800) 932-3918. Patients Information:.
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SUBLOCADE PATIENT ENROLLMENT FORM
SUBLOCADE. PATIENT ENROLLMENT FORM within this enrollment or consent form, to discuss my treatment with SUBLOCADE, and communicate my ongoing
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