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PHARMACY PRIOR AUTHORIZATION FORM Division of Medicaid Pharmacy Prior Authorization Unit 550 High St., Suite 1000, Jackson, MS 39201 FAX TO: 18775370720 For Information Call: 18775370722 Beneficiary
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18775370722 is the form to report certain transactions related to cryptocurrencies.
Individuals and entities engaged in virtual currency transactions are required to file Form 18775370722.
Form 18775370722 can be filled out electronically and submitted to the appropriate tax authorities.
The purpose of Form 18775370722 is to help tax authorities track and regulate virtual currency transactions for tax purposes.
Information such as the taxpayer's name, address, taxpayer identification number, description of the virtual currency transaction, and the amount of virtual currency involved must be reported on Form 18775370722.
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