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Get Us Rx Care Prior Authorization Form

S PECIALT Y ME DICA TION PRIOR AUT HORIZATION FORM **Please fax request to 8883899668 or mail to: USRx Care, 6412 N. University Dr. #113, Tamarac FL** Telephone: 7548007992 **Note:Theremaybeadrugspecificfaxformavailable**.

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