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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: Blue Cross Medicare Rx (PDP)SM Attn: Clinical Review Department 1305 Corporate Center
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What is this form may be?
This form is the annual income tax return form.
Who is required to file this form may be?
Individuals and businesses with taxable income are required to file this form.
How to fill out this form may be?
This form can be filled out either manually or electronically by providing accurate and complete information.
What is the purpose of this form may be?
The purpose of this form is to report income, deductions, credits, and calculate the tax liability of the taxpayer.
What information must be reported on this form may be?
Taxpayers must report all sources of income, deductions, and credits on this form.
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