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State of Oklahoma Stoneware Extol (Bempedoic Acid) & Realized (Bempedoic Acid/Ezetimibe) Prior Authorization Form Member Name:___ Date of Birth:___ Member ID#:___ Drug Information Pharmacy billing
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How to fill out state of oklahoma soonercare

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Go to the SoonerCare website or visit a local Oklahoma Department of Human Services (OKDHS) office.
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Fill out the application form with accurate personal information.
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Submit the application along with any required documents such as proof of income and citizenship.
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Wait for approval notification from SoonerCare.
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Once approved, follow the instructions provided to create an online account and choose a primary care provider.

Who needs state of oklahoma soonercare?

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Individuals and families with low income who need assistance with healthcare costs.
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Pregnant women, children, seniors, and people with disabilities may also qualify for State of Oklahoma SoonerCare.
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State of Oklahoma Soonercare is a Medicaid program that provides health coverage to qualified individuals in Oklahoma.
Individuals who meet the eligibility requirements and qualify for Medicaid coverage in Oklahoma are required to file for state of Oklahoma Soonercare.
You can fill out the state of Oklahoma Soonercare application online, by mail, or in person at a local Medicaid office.
The purpose of state of Oklahoma Soonercare is to provide health coverage to low-income individuals and families who meet the eligibility criteria for Medicaid in Oklahoma.
You must report personal and financial information, including income, household size, and any other relevant details required for determining Medicaid eligibility.
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