Example: air traffic controller
Patient Assistance Program (PAP) Application
o ®MoviPrep (PEG 3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate and ascorbic acid for oral solution) Directions: o ®Uceris (budesonide) 2 mg rectal foam Directions: 1 treatment (4 canisters) Prescriber’s Signature Required Below: Substitution Permitted Dispense As Written o o
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