A screenshot of a formulary access map on an iPad. The map is titled "NUCYNTRA Reimbursement Status in Washington" and has an orange and white color scheme. The top of the map has the title "Formulary Access Map" in bold black font. Below the title there is a table with columns for the user's name address phone number and other relevant information.
The table is divided into three sections. The first section has a list of items that the user can purchase such as "Cigarette" "Tricare" and "Workers Compensation". The second section has an image of a credit card and the text "You can help your patients save". The third section has information about the average cost of $49.
At the bottom of the screen there are several buttons for users to navigate through the form including "Home" "About" "Settings" and more. The iPad is black in color and has a home button at the bottom.
Description 
Type
Category
Source 1 of 2
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Date
2010
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Date
2010
Collection
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