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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191 () PRIOR AUTHORIZATION FORM Prior authorization guidelines and quantity limits may be found
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Fee-for-service pharmacy division is a department within a pharmacy that operates on a fee-for-service basis, where customers pay for each service rendered.
Pharmacies that operate a fee-for-service pharmacy division are required to file the necessary documents and reports.
To fill out the fee-for-service pharmacy division, pharmacies need to provide detailed information about the services offered, fees charged, and revenue generated.
The purpose of fee-for-service pharmacy division is to track revenue, expenses, and service utilization to ensure profitability and compliance with regulations.
Information such as services provided, fees charged, revenue generated, expenses incurred, and any other relevant financial data must be reported on the fee-for-service pharmacy division.
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