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Prescription Drug Program
Direct Member Reimbursement Form
Complete and return this form when you have purchased a covered prescribed prescription drug at retail cost
and are seeking reimbursement.
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What is fl dmr 31913?
fl dmr 31913 is a form used for reporting certain information to the state of Florida.
Who is required to file fl dmr 31913?
Individuals or entities specified by the state of Florida are required to file fl dmr 31913.
How to fill out fl dmr 31913?
Fl dmr 31913 can be filled out electronically or manually, following the instructions provided by the state.
What is the purpose of fl dmr 31913?
The purpose of fl dmr 31913 is to collect specific data for regulatory or compliance purposes.
What information must be reported on fl dmr 31913?
Fl dmr 31913 requires information such as financial data, operational details, or other relevant information.
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