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Get the free Aetna Rx - ILLINOIS MEDICARE - Botulinum Toxins Injectable Medication Precertificati...

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For Illinois MMP: FAX: 18553208445 PHONE: 18666002139MEDICARE FORMBotulinum Toxins Injectable Medication Recertification Requestor other lines of business: Please use other form. Page 1 of 3Note:
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Gather all necessary information such as your Aetna Rx membership card, prescription details, and personal information.
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Aetna Rx - Illinois is a prescription drug plan offered by Aetna in the state of Illinois.
Individuals who are enrolled in the Aetna Rx - Illinois prescription drug plan are required to file claims for their prescription medications.
To fill out Aetna Rx - Illinois claims, individuals must provide information about the prescription medication, pharmacy, and healthcare provider.
The purpose of Aetna Rx - Illinois is to provide individuals with access to affordable prescription medications through a comprehensive drug plan.
Information such as the name of the medication, dosage, quantity, pharmacy information, and healthcare provider details must be reported on Aetna Rx - Illinois claims.
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