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Neuromuscular disorder referral form – migraine, cervical dystonia, overactive bladder

Optum specialty referral form. Send us the form and we will take care of the rest.

Neuromuscular disorder referral form – migraine, cervical dystonia, overactive bladder

This is an Optum prior authorization criteria specific form to prescribe Botox treatment for migraines, cervical dystonia and overactive bladder from Optum Specialty Pharmacy.

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