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Pharmacy Prior Authorization Request(Commercial only Please do not use for Medicare Advantage or Federal Employee Program) Submission of this information by fax or phone does not constitute authorization
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What is commercial only - please?
Commercial only refers to transactions or activities related to business or commerce, excluding personal or non-commercial transactions.
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Businesses, companies, and individuals engaged in commercial activities are required to file commercial only.
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Commercial only forms typically require information on business transactions, income, expenses, and other commercial activities.
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Information such as business transactions, revenue, expenses, and other commercial details must be reported on commercial only forms.
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