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Drug Regimen Review Request

In stock

SKU

MPSBRG-3541

More Information
Brand	Sage
MPN	3541
Packaging	100 pad
Size	8 1/2 X 11

$26.64

Details

This form is used to notify the pharmacist of the need for a Drug Regimen Review (DRR) for specific reasons other than the monthly DRR. It is designed for FAX/electronic transmission between the long-term care facility and the pharmacy.

Download a sample today!

8 1/2 X 11
100 pad
Punched side and top

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