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The Transmucosal Immediate Release Fentanyl …

3 1PresPrceib PrsNaiPbeNmP*ae(pl1escnitibc):eIucN)ce)cce1*uuedrc)trimibhepb PrsNaiPb:eibtu*nibheTRFoyefglkpkwv, Prescriber Name* (please print): patient privacy Notice for the TIRf ReMS access program — For the purpose of the TIRF REMS Access program, my name, address, telephone number, and prescription information make up my “Health Information.”

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