PDF
Word
Form CS330204-B Medication Tracker - 4 Months of Daily Rifampin (4r) for Latent Tuberculosis (Tb) Infection
What Is Form CS330204-B?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the medication for?
A: It is for treating latent tuberculosis infection.
Q: What is the name of the medication?
A: The medication is called Rifampin (4r).
Q: How long do I need to take the medication?
A: You will need to take it for 4 months.
Q: How often do I need to take the medication?
A: You need to take it daily.
Q: What is the purpose of this medication?
A: The medication helps to prevent the tuberculosis infection from becoming active.
Form Details:
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CS330204-B by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Disease Control and Prevention.
Download Form CS330204-B Medication Tracker - 4 Months of Daily Rifampin (4r) for Latent Tuberculosis (Tb) Infection
1
2
