![Pharmacology / Copayment / Explanation of benefits / Medical prescription / Flexible spending account / Pharmaceutical sciences / Co-Pay Cards / Employment compensation / Medicine / Health Pharmacology / Copayment / Explanation of benefits / Medical prescription / Flexible spending account / Pharmaceutical sciences / Co-Pay Cards / Employment compensation / Medicine / Health](https://www.pdfsearch.io/img/09c13bfebb999a0d8d3017dd566f14ac.jpg)
| Document Date: 2012-07-23 12:06:15 Open Document File Size: 32,07 KBShare Result on Facebook
City Patient / / Facility Clinic Hospital / / IndustryTerm bank statement / insurance status / / Organization Clinic Hospital / Patient/Guardian Pharmacy Physician’s Office / / / Position COPAYMENT REQUEST Patient/Guardian/Pharmacy/Physician / /
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