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Pharmacy Part B vs. Part D determination form Fax completed form to: 877 9744411 toll-free, or 616 9428206 This form applies to: This request is: Medicare Part B Expedited request Medicare Part D
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Pharmacy Part B vs is a form used by pharmacies to report prescription drug information to Medicare.
Pharmacies that provide prescription drugs to Medicare beneficiaries are required to file Pharmacy Part B vs.
Pharmacy Part B vs can be filled out electronically through the CMS's website.
The purpose of Pharmacy Part B vs is to track prescription drug usage and costs for Medicare beneficiaries.
Information such as the drug name, dosage, quantity, and cost must be reported on Pharmacy Part B vs.
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