BSW Use of Qutenza Patches in Adults for Peripheral Neuropathic pain in non-diabetic patients: Prior Approval Form

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BSW Use of Qutenza Patches in Adults for Peripheral Neuropathic pain in non-diabetic patients: Prior Approval Form

Capsaicin

qutenza

neuropathic pain

pain

Attached Files

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BSW-CPXXX - Qutenza patch-Application.docxDownload