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Mission Product Request
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Phone
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877-425-0325
Fax:
877-426-2795
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Eligibility
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This program is for healthcare professionals only. Eligibility requirements for this program have not been disclosed. |
Who Can Apply
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The Doctor should call for an application or download it from the website. |
Required
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Doctors must complete and sign the application. |
Supply
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Varies |
Ship To
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Doctor's office |
Note
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Resources for HEALTHCARE PROFESSIONAL ONLY.
The Doctor must contact the program to place an order. |
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Includes Support for This Drug NOTE: Linked drugs are available for Prescribers to Apply Online now. Click drug logo or drug name to start online application. |
Avar LS cleanser |
Avar-e LS emollient; cream |
Binosto tablet; effervescent |
Calcet creamy bites |
CitraNatal 90 DHA tablet |
CitraNatal Assure tablet |
CitraNatal B-Calm tablet |
CitraNatal Harmony capsule; gel |
Dr. Smiths Diaper Rash Ointment ointment |
Eletone cream |
Ferralet 90 tablet |
Lycelle head lice removal kit |
Oncovite oral |
Ovace Plus shampoo |
Ovace Plus Wash gel |
Prednisolone oral solution |
Texacort solution; topical |
Tindamax tablet |
Uribel capsule |
Urocit-K tablet; extended release |
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