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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.

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