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- MATULANE® (procarbazine hydrochloride)
Indication: Matulane is indicated for use in combination with other anticancer drugs for the treatment of Stage III and IV Hodgkin’s disease Matulane is used as part of the MOPP (nitrogen mustard, vincristine, procarbazine, prednisone) regimen
- MATULANE® (procarbazine hydrochloride)
There are two options available to order Matulane: (1) Order through Walgreens Specialty Pharmacy and ship Matulane directly to the patient’s home or to the VA Pharmacy for the patient
- MATULANE
Created Date8 30 2011 1:26:04 PM
- Fold Size: 1. 25” x 1. 25” Width: 8. 75” Length: 9. 75 . . . - MATULANE
Matulane is indicated for use in combination with other anticancer drugs for the treatment of Stage III and IV Hodgkin’s disease Matulane is used as part of the MOPP (nitrogen mustard, vincristine, procarbazine, prednisone) regimen
- MATULANE (procarbazine hydrochloride)
If shipped to the VA Pharmacy, the VA Pharmacist gives MATULANE to VA patient Walgreens Specialty faxes delivery confirmation summary to ordering pharmacy within 72 hours for prescriptions shipped directly to the patient
- Matulane Prescription Enrollment Form
Matulane (procarbazine hydrochloride) Note: This form is intended for prescriber use only PRESCRIPTION ENROLLMENT FORM If faxed, the fax must come from MD office or hospital (should not be faxed by patient)
- VA FSS Wholesale Ordering Authorization Form - MATULANE
VA FSS Wholesale Ordering Authorization Form Directions: Please complete and return with licensure to fax 855-534-8308
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