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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION
This form may be sent to us by mail or fax:
Address:
CVS Earmark
PO Box 52000, MC109
Phoenix, AZ 850722000
Attn: PA Departmental Number:
18556337673You
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What is attn pa department?
The attn pa department is a designation used to indicate the specific department or individual within an organization to whom a communication or document is directed.
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Any individual or organization sending a communication or document to a specific department within an organization may use the attn pa department designation.
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