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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: Superscript Appeals Department P.O. Box 52000, MC109 Phoenix, AZ 85072-2000 Fax Number:
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Silverscript Medicare CVS Caremark is a prescription drug plan offered by CVS Caremark that provides Medicare beneficiaries with coverage for prescription drugs.
Medicare beneficiaries who wish to enroll or make changes to their prescription drug coverage are required to file Silverscript Medicare CVS Caremark.
To fill out Silverscript Medicare CVS Caremark, you need to provide your personal information, Medicare details, and a list of medications you are currently taking. The form can be completed online or by mail.
The purpose of Silverscript Medicare CVS Caremark is to provide Medicare beneficiaries with access to affordable and comprehensive prescription drug coverage.
On Silverscript Medicare CVS Caremark, you must report personal information, Medicare details, and a list of medications you are currently taking.
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