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Centrix Benefit Administrators PO Box 212199 Chula Vista, CA 91921 Phone: 8005855965 Fax: 6192209003Retail Pharmacy Prior Authorization Request FormAll relevant information must be completed. Centrix\'s
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Formulary exclusion.xlsx - CentrixBenefits is a spreadsheet document used to list medications that are excluded from a particular formulary, which is a formulary used by insurance providers to manage prescription drugs.
Pharmaceutical manufacturers and health insurance providers that participate in certain healthcare programs are required to file the formulary exclusion.xlsx - CentrixBenefits.
To fill out formulary exclusion.xlsx - CentrixBenefits, you should input relevant information about each excluded medication, including the drug name, classification, reason for exclusion, and any other required identifiers in the designated fields.
The purpose of formulary exclusion.xlsx - CentrixBenefits is to provide regulatory agencies with information on medications excluded from formulary coverage, ensuring transparency and compliance within healthcare plans.
The report must include details such as the medication name, its classification, indications, reasons for exclusion, and any relevant notes about the exclusion policy.
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