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Certification and Authorization I certify that the information on this form is correct and further understand that any benefits are subject to my eligibility for and participation in the medical plan. I certify that I or my dependents for whom prescriptions are enclosed do not have primary prescription drug coverage under any other medical plan. NOTE All communications including mailed prescriptions will be directed to the cardholder. O. Box 26096 Milwaukee WI 53226 FAX 866-494-0364 Transfer...
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Serve you directrxsm mail is a form of direct mail service that allows for the delivery of prescription medications directly to the customer's home.
Pharmaceutical companies and pharmacies are required to file serve you directrxsm mail in order to provide prescription medication directly to customers.
Serve you directrxsm mail can be filled out online through the pharmaceutical company or pharmacy's website, or through a customer service representative over the phone.
The purpose of serve you directrxsm mail is to provide a convenient and efficient way for customers to receive their prescription medications without having to visit a pharmacy in person.
Serve you directrxsm mail must include the customer's name, address, prescription details, and any relevant instructions for taking the medication.
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