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PRIOR AUTHORIZATION REQUEST FORM EOC ID: Phone: 8007287947 Fax back to: 8668804532 Scott & White Prescription Services manages the pharmacy drug benefit for your patient. Certain requests for coverage
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id - legacyswhporg is an identification number for Legacy SWHP organization.
Legacy SWHP organization is required to file id - legacyswhporg.
To fill out id - legacyswhporg, Legacy SWHP organization must provide all the required information accurately.
The purpose of id - legacyswhporg is to identify Legacy SWHP organization in official records.
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