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Prescription Drug Claim Form Direct Member Reimbursement This claim form can be used to request reimbursement of covered expenses. Please check which reason applies. I did not have my ID card at the
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It is a form or declaration stating that the individual did not have a certain item or meet a certain requirement.
Individuals who did not possess or have a specific item or qualification are required to file 'i did not have' form.
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The purpose of the 'i did not have' form is to declare and document the absence of a particular item or qualification.
The individual must report details about the specific item or qualification they did not have and provide any relevant supporting documentation.
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