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Members of Molina Healthcare in Louisiana and Kentucky who are eligible for the OTC (Over-the-Counter) benefit package in 2024 may need the molinahealthcare-la-ky-otc-full-combo-en-2024 accessible pdf to select and order eligible OTC products.
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The molinahealthcare-la-ky-otc-full-combo-en-accessible pdf is a document used for submitting health care information and claims for over-the-counter medications under Molina Healthcare's plan in Kentucky.
Individuals enrolled in Molina Healthcare's over-the-counter medication program in Kentucky are required to file this document.
To fill out the molinahealthcare-la-ky-otc-full-combo-en-accessible pdf, you need to provide your personal information, specification of the OTC items purchased, and any relevant receipts or documentation as instructed in the form.
The purpose of the document is to allow members to request reimbursement for eligible over-the-counter medications purchased under their health plan.
You must report personal identification details, specific OTC products purchased, dates of purchase, receipt copies, and any requested healthcare provider information.
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