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No Pay Copay
Providing generic drugs at no cost to you
Switch to generics and save money
through June 30, 2007,
Pay Nothing at the PharmacyPromoti
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extended n
d! Simply fill or refill your generic
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Who needs no pay copay?
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What is no pay copay?
No pay copay is a form used to report any transactions or payments that do not require a copayment.
Who is required to file no pay copay?
Healthcare providers and organizations are required to file no pay copay.
How to fill out no pay copay?
No pay copay can be filled out electronically or manually with the necessary transaction details.
What is the purpose of no pay copay?
The purpose of no pay copay is to accurately report transactions that do not require a copayment.
What information must be reported on no pay copay?
The information that must be reported on no pay copay includes the date of transaction, patient name, and reason for no copayment.
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