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For Ohio MMP: FAX: 18557349389 PHONE: 18553640974MEDICARE FORMVABYSMO (faricimabsvoa) Injectable Medication Recertification Requestor other lines of business: Please use other form. Page 1 of 2 (All
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Aetna Rx - Ohio is a prescription drug coverage offered by Aetna specifically for residents of the state of Ohio.
Individuals who are enrolled in Aetna Rx - Ohio prescription drug coverage are required to file claims for their medications.
To fill out Aetna Rx - Ohio claims, individuals need to provide information such as their Aetna member ID, prescription details, and pharmacy information.
The purpose of Aetna Rx - Ohio is to provide affordable access to prescription medications for Ohio residents who are covered under Aetna's insurance plans.
The information required to be reported on Aetna Rx - Ohio claims includes the prescription details, pharmacy information, and any out-of-pocket expenses.
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