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Send completed form to: Case Review Unit CVS Earmark Specialty Programs Fax: 18662496155 Prior Authorization Request CVS Earmark administers the prescription benefit plan for the patient identified.

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4. Fill out the required forms: If there are any specific forms or paperwork that need to be filled out, do so accurately and legibly. Double-check for any missing information or errors before attaching them to the fax.
5. Scan or photocopy the documents: Make digital copies or photocopies of all the documents you are sending. This step ensures that you have backup copies for your records and helps prevent the loss of valuable information during fax transmission.
6. Dial the fax number: Use a fax machine or an online fax service to dial the number mentioned, which is 1-866-249-6155. Make sure you enter the number correctly to avoid any transmission errors.
7. Send the fax: Place the cover sheet and the medical documents carefully into the fax machine's document feeder. Follow the instructions provided by the fax machine or the online fax service to send the fax securely. Double-check the recipient's information and any additional instructions before pressing the send button.

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1. Patients: Patients who need to submit their medical documents, reports, or claims to a health organization may require the fax 1-866-249-6155 - health. Utilizing this fax number allows patients to securely transmit their health-related information without relying solely on email or postal services.
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Remember, always ensure the accuracy and confidentiality of the information you are transmitting and comply with any specific instructions provided by the recipient.

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