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Reach your TerciCare case manager by calling 1-866-TERCICA (1-866-837-2422) and pressing option #3
Enrollment and Authorization Forms
Statement of Medical Necessity

Statement of Medical Necessity Form

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Tercicare Brochure

TerciCare Brochure

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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

 
 
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