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Caremark is an independent company that administers prescription drug benefits on behalf of BlueChoice. Oral Corticosteroids - Rayos PHYSICIAN PRIOR AUTHORIZATION REQUEST FORM BlueChoice HealthPlan Patient Information Name Insurance ID Address Birthdate Provider Information Physician s Name Physician DEA Phone Fax Office Address Diagnosis ICD-9 Code When this form is completed please fax back to Caremark at 888-836-0730. This fax machine is located in a HIPAA-compliant secure location. Call...
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Oral corticosteroids - Rayos are a type of medication that helps reduce inflammation in the body.
Healthcare providers and pharmacies are required to file oral corticosteroids - Rayos prescriptions.
To fill out oral corticosteroids - Rayos, healthcare providers need to include the patient's information, dosage instructions, and any relevant medical history.
The purpose of oral corticosteroids - Rayos is to reduce inflammation and control symptoms in patients with various conditions.
The information that must be reported on oral corticosteroids - Rayos includes the patient's name, dosage, frequency, and any potential side effects.
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