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The document is a new prescription fax form that outlines the necessary steps and information required for submitting a prescription. It includes sections for member, prescriber, and patient information, as well as specific instructions for filling out the form correctly. The form emphasizes the need for signatures, confidentiality, and compliance with HIPAA standards.

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Send catamaran rx home delivery via email, link, or fax. You can also download it, export it or print it out.

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