Sign on to request that Medicaid remove hepatitis C prior authorization criteria

The National Viral Hepatitis Roundtable is seeking signatures from clinicians requesting that prior authorization criteria for hepatitis C curative therapies that go against medical standards of care be lifted. If you are a clinician based in the U.S. please sign below.

To view the full letter, please click here.
 
Please provide your signature by September 18, 2020.

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* 1. Full Name (as you would like it to appear)

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* 2. Credentials

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* 3. In which U.S. state are you licensed to practice? If more than one, separate with commas.

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* 4. Email address 

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* 5. Would you like to be contacted about additional clinician advocacy opportunities relating to viral hepatitis?

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