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Send completed form to: Case Review Unit CVS Earmark Specialty Programs Fax: 1-866-249-6155 Prior Authorization Form CVS Earmark administers the prescription benefit plan for the patient identified.

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What is 866 249 6155?

866 249 6155 is the form used for reporting information about certain transactions to the Internal Revenue Service (IRS).

Who is required to file 866 249 6155?

Individuals, businesses, and other entities who engage in reportable transactions are required to file 866 249 6155.

How to fill out 866 249 6155?

You can fill out 866 249 6155 by providing all the required information about the reportable transactions in the form.

What is the purpose of 866 249 6155?

The purpose of 866 249 6155 is to report information about reportable transactions to the IRS for tax compliance purposes.

What information must be reported on 866 249 6155?

Information such as details of the reportable transactions, parties involved, and amounts must be reported on 866 249 6155.

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