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University Compounding Pharmacy fax number

(800) 407-8066

University Specialty Urologicals

Used for: Penile injection therapy forms and vacuum erection device prescriptions and letters of medical necessity (medical documentation for erectile dysfunction treatments)

Fax destination details

Department
University Specialty Urologicals
Purpose
Penile injection therapy forms and vacuum erection device prescriptions and letters of medical necessity (medical documentation for erectile dysfunction treatments)
Form
Letter of Medical Necessity; Patient Information form — Penile Injection Therapy and Vacuum Erection Device information package
Address
1875 Third Avenue, San Diego, CA 92101
Voice phone
(619) 683-2005

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Fill patient information, physician information, ICD codes; have physician sign; fax back the completed forms/resources to the designated fax number.

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