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General practice / Abdominal pain / Irritable bowel syndrome / Syndromes / Waterborne diseases / Functional constipation / Constipation / Bowel obstruction / Tegaserod / Medicine / Health / Gastroenterology


Microsoft Word - Prior Authorization Request Form for Zelnorm.doc
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Document Date: 2012-04-02 14:37:36


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File Size: 36,59 KB

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Cardholder / /

IndustryTerm

treatment of Irritable Bowel Syndrome / /

MedicalCondition

No Is constipation / Irritable Bowel Syndrome / constipation / disease / chronic irritable bowel syndrome / chronic idiopathic constipation / Oddi dysfunction / /

Organization

FDA / /

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Product

Zelnorm / /

ProvinceOrState

Florida / /

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