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Southern California Drug Benefit FundENROLLMENT FORM. O. Box 27920, Los Angeles, CA 90027
(323) 6668910 Toll Free: (877) 9998329
Fax: (323) 9130484
www.ufcwdrugtrust.orgNew Hire/Initial Enrollment(If
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What is souformrn california drug benefit?
The Southern California Drug Benefit is a program that provides prescription drug coverage to individuals in Southern California.
Who is required to file souformrn california drug benefit?
Individuals who are eligible for the program and wish to receive prescription drug coverage must file the Southern California Drug Benefit form.
How to fill out souformrn california drug benefit?
The form can be filled out online or submitted by mail with the required information including personal details, prescription drug needs, and any additional documentation.
What is the purpose of souformrn california drug benefit?
The purpose of the program is to ensure that individuals in Southern California have access to necessary prescription medications at an affordable cost.
What information must be reported on souformrn california drug benefit?
The form requires information such as personal details, prescription drug needs, income information, and any other relevant documentation.
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