Hepatitis C Enrollment Form
The Hepatitis C Enrollment Form is an important document for pharmacies to offer prescribers, because it is a widely used form in pharmacy.
After purchasing the form, pharmacies can enter their information in the header.
The pharmacy saves the form with their information in the header.
Then, the pharmacy can present the form to prescribers as marketing, advertising, or to fill prescriptions.
Additionally, when the doctor receives a patient, then they enter the prescription information into the form.
Finally, the prescriber can fill out the form electronically on a mobile device or computer or manually by printing out the form.
Also, the prescriber can sign the form electronically or manually after printing the form.
The following drugs are available in this form:
- Harvoni, and
- Zepatier, and
- Viekira Pak, and
- Viekira XR, and
- Mavyret, and
- Epclusa, and
- Vosevi, and
- Sovaldi, and
- Daklinza, and
- Ribapak, and
- Moderiba, and
- Ribavirin, and finally
The form is available as an Adobe PDF file, and it is interactive.