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Perplex does not require an action or a token, and can even be used when you have two action tokens already. As long as the 10 square/LoF requirements are met you can use Perplex at any time on your own turn.
The only restriction on powers is for those that require actions to be given, since you can only give someone a single action each turn. Outwit, PC, and Perplex are "freebies" and thus not subject to this restriction.
However, you cannot Perplex either the healer or the healed, because the wording for Support "ignores all modifiers to the close combat attack". This includes upping the medic's attack AND lowering the target's Def.
Hope this helps!
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