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TeamstersCare Medication Prior Authorization Form Complete and fax to 6172415025. Standard response time is 3 to 5 business days from date received. Or PATIENT INFORMATION Patient Name: Date of Birth:
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OR - TeamstersCare is a healthcare program designed for Teamsters members and their families.
Teamsters members and their families who are eligible for the healthcare program are required to file OR - TeamstersCare.
OR - TeamstersCare can be filled out online through the official website of the program or through paper forms provided by the healthcare provider.
The purpose of OR - TeamstersCare is to provide healthcare coverage for Teamsters members and their families at affordable rates.
The OR - TeamstersCare form requires information such as personal details, health history, and any dependents who will be covered under the healthcare plan.
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