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REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Fax Number: 18444031028Address: Optimal Prior Authorization Department P.O. Box 25183 Santa
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What is box 25183?
Box 25183 is a section on a specific form used for reporting certain information to the IRS.
Who is required to file box 25183?
Individuals or entities that meet the criteria outlined by the IRS are required to file box 25183.
How to fill out box 25183?
Box 25183 must be filled out with the relevant information as per the instructions provided by the IRS.
What is the purpose of box 25183?
The purpose of box 25183 is to provide the IRS with specific information for tax reporting purposes.
What information must be reported on box 25183?
The information required to be reported on box 25183 may vary depending on the specific tax form being used.
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