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~. ORDER FORM FROM EXPRESSSCRIPTS Fax to: 800-396-2171

~. ORDER FORM FROM EXPRESSSCRIPTS Fax to: 800-396-2171

www.twrcma.com

-"EXPRESS SCRIPTS' ~. ORDER FORM FROM EXPRESSSCRIPTS Fax to:800-396-2171 It can take up to 72 hours for the prescriptionto be entered into our system after your fax is received.

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