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(for Maryland only) Prior Authorization Request Send completed form to: Case Review Unit CVS Earmark Prior Authorization Fax: 18662496155 CVS Earmark administers the prescription benefit plan for
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To fill out forms for Maryland, follow these steps:
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Obtain the necessary forms: Visit the official website of the Maryland government or contact the Maryland Department of Assessments and Taxation to find and download the required forms for your specific need.
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Read the instructions: Before filling out the forms, carefully read the provided instructions. Make sure you understand the requirements and guidelines for completing the forms accurately.
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Sign and date the forms: In the designated areas, sign and date the forms where required.
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Make copies for your records: Before submitting the forms, make copies of the completed forms and all supporting documents for your own records.
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Submit the forms: Submit the completed forms and any required fees or payments to the appropriate Maryland government office or address. Follow any provided instructions or submission methods specified on the forms or official website.
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Keep a record of submission: Once you have submitted the forms, keep a record of the date of submission and any confirmation or receipt provided by the Maryland government office.
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The specific forms required will depend on the purpose and needs of each individual or entity. It is advisable to visit the official website of the Maryland government or consult with the relevant Maryland government department for accurate and up-to-date information on the forms required for specific situations.
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