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3
Print and fax it to the pharmacy at 401-284-4506.
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Tirzepatide
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Semaglutide
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Testosterone
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Phentolamine
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Papaverine
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Ivermectin
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Ketamine
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Diazepam
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Gabapentin
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Amitriptyline
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Metformin
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Theophylline
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Arginine
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Spironolactone
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Clobetasol Propionate
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Ketotifen
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Hydrocortisone
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Acyclovir
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Chlorhexidine Gluconate
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Nystatin
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Boric Acid
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Tri-Est
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Bi-Est
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Dehydroepiandrosterone
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Progesterone
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Estriol
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Estradiol
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Tetracaine
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Lidocaine
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Benzocaine
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Sodium Hyaluronate
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Niacinamide
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Tranexamic Acid
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Kojic Acid
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Hydroquinone
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Metronidazole
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Miconazole
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Betamethasone
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Mupirocin
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Sodium Butynate
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Sodium Acetate
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Naltrexone
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Mesalamine
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Budesonide
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Sucralfate
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Baclofen
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Tacrolimus
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Nitroglycerin
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Nifedipine
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Diltiazem
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Atropine Sulfate
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Cyclosporin
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Acetylcysteine
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Voriconazole
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Amphotericin
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Ceftriaxone
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Ceftazidime
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Quad-Mix
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Tri-Mix
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Alprostadil
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Atropine Tri-Mix
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Bi-Mix
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Vardenafil
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Sildenafil RDT
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Sildenafil
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Tadalafil RDT
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Tadalafil
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Scopolamine Hydrobromide
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Glycopyrrolate
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Gentamicin
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Vancomycin
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Tobramycin
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Atropine
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Other
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Tretinoin
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Azelaic Acid
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Finasteride
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Minoxidil
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Pantoprazole
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Omeprazole
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Lansoprazole
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Esomeprazole
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Chlorhexidine Gluconate 2% Topical Wash
Skin Infections, Gingivitis, Periodontitis, Acne Vulgaris, Wound Care
Chlorhexidine Gluconate 2%/Clindamycin Phosphate 1.2% Topical Wash
Acne Vulgaris, Bacterial Skin Infections, Folliculitis, Impetigo, Wound Infections
Niacinamide 3%/Sulfacetamide Sodium 10%/Sulfur 5% Topical Wash
Acne Vulgaris, Rosacea, Seborrheic Dermatitis, Folliculitis, Pityriasis Versicolor
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