Inc. All rights reserved. Corp. Identity Consultant Please contact our Webmaster regarding our site's performance. We have signed an agreement with Astra-Merck to do a reminder program on Prilosec. This form will cover future APA programs as well for other drugs.
Patients are eligible to enroll on new or refill activity only.
Duplicate enrollment forms will be available for the pharmacist to use in enrolling patients in the program. The pharmacist will retain one copy for their records and provide the patient with a copy of the enrollment form. All patient enrollment requirements and records must be monitored and maintained by the pharmacy. Records must be maintained by the pharmacy in a manor consistent with an audit environment. This will trigger a call from CON back to the vendor to verify the change.