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Medicare Part D Prescription Drug Claim Form PLEASE READ THE FOLLOWING INSTRUCTIONS AND CAREFULLY COMPLETE THE FORM. YOU ARE NOT REQUIRED TO USE THIS FORM FOR REIMBURSEMENT. YOU MAY SUBMIT OTHER DOCUMENTATION
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Magellan Complete Care is a health plan that provides healthcare services to eligible individuals.
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Individuals who are enrolled in or eligible for the Magellan Complete Care health plan are required to file.
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Information such as medical history, current health conditions, medications, and healthcare providers must be reported on Magellan Complete Care.
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