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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION
This form may be sent to us by mail or fax:
Fax Number:
Address:
18779410480
Medicare Part D
Prior Authorization Department
P.O. Box 419069
Rancho
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What is h9487?
h9487 is a form used by individuals or businesses to report certain information to the relevant authorities.
Who is required to file h9487?
Any individual or business that meets the criteria set by the authorities must file h9487.
How to fill out h9487?
h9487 can be filled out online or on paper, following the instructions provided by the authorities.
What is the purpose of h9487?
The purpose of h9487 is to gather specific information required by the authorities for various purposes.
What information must be reported on h9487?
h9487 may require reporting of income, expenses, assets, liabilities, and other relevant financial information.
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