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Mississippi Medicaid Provider Billing Handbook Section: Pharmacy Mayor Sheet 5.2 Pharmacy Mayor Sheet CPDP VERSION 5.1 PAYER SHEET B1/B3 Transactions **GENERAL INFORMATION** Mayor Name: Mississippi-
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Section pharmacy payor sheet is a document that contains information about payments made by pharmacies to pharmacy benefit managers.
Pharmacies are required to file section pharmacy payor sheet.
To fill out section pharmacy payor sheet, pharmacies need to include details of payments made to pharmacy benefit managers.
The purpose of section pharmacy payor sheet is to report payments made by pharmacies to pharmacy benefit managers.
Information such as payment amounts, dates, and recipient details must be reported on section pharmacy payor sheet.
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