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Benefits Review Form For ELIQUIS(apixaban) 2.5 Mg And 5 Mg

Click here for U.S. Full Prescribing Information, including Boxed WARNINGS and Medication Guide, or visit ELIQUIS.com. The patient or his/her representative must be provided with a copy of this Patient Authorization and Agreement Form after it has been signed.

Actived: Saturday Jan 15, 2022

URL: https://www.eliquis.com/eliquis/servlet/servlet.FileDownload?file=00P1Y000011vwqFUAQ

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