Get Adap Prior Authorization Form
) 8. Complete this section to request ADAP prior authorization for initiation of therapy b) Certification: I agree to accept responsibility for delivery of from the ADAP pharmacy or other supplier/distributor, via direct shipment to my office/clinic, for direct dispensing to my patient. c) Certification: I agree to accept responsibility to ensure instruction of my patient regarding proper administration of by the patient/patient s caregiver, t.
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