1199SEIU Benefit Funds 90-Day Rx Solution Maintenance Drug Access Program Waiver Request Form 2019-2025 free printable template
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1199SEIU Benefit Funds330 West 42nd Street New York, NY 10036 Phone: (646) 4737446 Fax: (646) 4737469 www.1199SEIUBenefits.org1199SEIU 90DAY RX SOLUTION MAINTENANCE DRUG ACCESS PROGRAM WAIVER REQUEST
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How to fill out 1199SEIU Benefit Funds 90-Day Rx Solution
How to fill out 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance
01
Obtain the 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance application form from the official website or your local union representative.
02
Complete the personal information section, including your name, address, and member ID.
03
Provide information about your prescription medication, including the name of the medication, dosage, and prescribing doctor.
04
Indicate if this is a new prescription or a refill, and specify the pharmacy you intend to use.
05
Attach any required documentation, such as your doctor’s prescription or previous medication records.
06
Review all the information for accuracy to ensure there are no mistakes that could delay processing.
07
Submit the completed application form and any attachments via mail, fax, or the specified online portal as instructed.
08
Monitor the submission status through the provided contact information or online system to confirm approval.
Who needs 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance?
01
Individuals who are members of 1199SEIU and require a maintenance medication.
02
Members who are eligible for the 90-Day Rx Solution and wish to receive their prescriptions in a more convenient manner.
03
Those transitioning to a long-term medication regimen that requires a consistent supply.
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What is 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance?
The 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance is a program that allows members to obtain a 90-day supply of eligible maintenance prescription medications to improve adherence and manage medication costs.
Who is required to file 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance?
Members of the 1199SEIU Benefit Funds who are enrolled in the prescription drug plan and wish to obtain maintenance medications in a 90-day supply are required to file the 90-Day Rx Solution Maintenance.
How to fill out 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance?
To fill out the 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance, individuals must complete the required forms provided by the Benefit Funds, providing necessary information about their prescription medications, including the name of the medication, dosage, and prescribing physician.
What is the purpose of 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance?
The purpose of the 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance is to ensure members have access to necessary maintenance medications while promoting convenience, cost savings, and better health outcomes through improved medication adherence.
What information must be reported on 1199SEIU Benefit Funds 90-Day Rx Solution Maintenance?
The information that must be reported includes the member's personal details, insurance information, prescription details (such as drug name, dosage, quantity), and the name of the prescribing physician.
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