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Prescription Drug Reimbursement Form Required This form must be used when submitting all requests for prescription drug reimbursement. Please submit a separate form for each patient. Instructions:
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What is this form must be?
This form is a tax form.
Who is required to file this form must be?
Individuals and businesses are required to file this form.
How to fill out this form must be?
This form can be filled out online or by mail.
What is the purpose of this form must be?
The purpose of this form is to report income and expenses for tax purposes.
What information must be reported on this form must be?
Income, expenses, and deductions must be reported on this form.
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