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Please note: All information below is required to process this request Mon Fri: 5am to10pm Pacific / Sat: 6am to 3pm Pacific For real time submission 24/7 visit www.OptumRx.com and click Health Care

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Step 1: Begin by reading the instructions given on the 'Do Not Copy' form.

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What is do not copy for?

Do not copy form is used to request that certain material not be copied or reproduced without permission.

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Anyone who owns the rights to material that they do not want copied or reproduced without permission.

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To fill out a do not copy form, simply provide the requested information about the material and specify the restrictions on copying or reproduction.

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The information that must be reported on a do not copy form typically includes details about the material being protected and the restrictions on copying or reproduction.

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