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PDMI Letterhead General 2026

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  1. Click ‘Get Form’ to open the PDMI Letterhead General in the editor.
  2. Begin by filling out the Pharmacy Compliance/FWA Certification section. Indicate your agreement or disagreement with each statement regarding compliance and training policies.
  3. Ensure that you provide accurate information about your pharmacy's policies on reviewing exclusion lists and maintaining records. This is crucial for compliance.
  4. In the FWA Attestation section, confirm that you will notify the company of any changes that may affect your answers. This ensures ongoing compliance.
  5. Complete the FWA Certification and Signature section by entering your NCPDP ID, Pharmacy Name, and signing as an authorized agent. Make sure to date your submission.

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