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PRIOR AUTHORIZATION FORM: DIABETIC TEST STRIPS Note: One Touch Ultra, One Touch Verso and Sidestep Pro are preferred and do not require Prior Authorization. Please fax the completed form to CVS Earmark*
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CVS refers to a Concurrent Versioning System or commonly, CVS Pharmacy, which is a healthcare company and pharmacy chain in the United States.
Individuals or companies that need to submit documentation for healthcare services or prescriptions may be required to file with CVS.
To fill out a CVS-related document, gather required personal information, prescription details, and insurance information, then follow the provided instructions for submission.
The purpose of providing information about CVS is to educate users on healthcare services, pharmacy offerings, and insurance claims processing.
Information that must be reported includes personal identification details, health conditions, prescription medications, and insurance information.
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