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Get Request Report - Division Of Professional Regulation - Delaware.gov

G PROGRAM TELEPHONE: (302) 744-4500 FAX: (302) 739-2711 WEBSITE: DPR.DELAWARE.GOV EMAIL: customerservice.dpr state.de.us DELAWARE MEDICAID REQUEST FOR PRESCRIPTION REPORT INSTRUCTION SHEET Who May Receive a Prescription Monitoring Program (PMP) Report The Office of Controlled Substances may provide PMP reports regarding Medicaid recipients to the Delaware Department of Health and Social Services (16 Del. C. 4798(i)(2)e). Submitting Report Request Complete the entire form. All fields are re.

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