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The submission process for the following forms remain unchanged (though updates are planned later): Bowel Prep Cost Share Reduction Contraceptive Out-of-Pocket Reduction Dispense as Written Prescriber Indicated Penalty Waiver Form ACA Formulary Exception Form NetResults Formulary Exception Form HMG Co-A Reductase Inhibitor (Statin) Cost Share Reduction HIV infection: Pre-exposure Prophylaxis (prep) medications Risk Reduction for Primary Breast Cancer in Women Watch Happening Now for updates to these forms and our Pharmacy Management page

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