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R Date Dear: Insert name I am writing to provide additional information to support my request to treat insert patient name with (tofacitinib citrate) 5 mg tablets for adults with moderate to severe rheumatoid arthritis. In brief, treating insert patient name with is medically appropriate and necessary and should be a covered and reimbursed service. Below, this letter outlines insert patient name s medical history, prognosis, and treatment rationale. Summary of Pati.

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