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Pharmacology / Pharmaceuticals policy / Clinical pharmacology / Medical prescription / Patient safety / Pharmacy / Prescription medication / Pharmacist / Medco Health Solutions / Pharmaceutical sciences / Health / Medicine


Coordination of Benefits / Direct Claim Form See the back for instructions. Complete all information. An incomplete form may delay your reimbursement. Member/Subscriber Information See your prescription drug ID card. Gro
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Document Date: 2009-01-16 15:31:31

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File Size: 49,76 KB

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City

Lexington / /

Company

Medication / Medco Health Solutions Inc. / /

Facility

PHARMACY INFORMATION / Pharmacy Street Address City State Zip Telephone / Health Plan Paid Medco By Mail/mail-order pharmacy / /

IndustryTerm

fraudulent insurance act / insurance carrier / insurance / /

Position

Representative / Pharmacist / /

Product

Compound Prescriptions / /

ProvinceOrState

Kentucky / California / Pennsylvania / /

URL

www.medco.com / /

SocialTag