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This form is designed to collect necessary information for documenting choices in pharmacy programs available through Premier contracted suppliers. It facilitates the auto-population of various forms in the Performance Program and includes declarations for participation in group purchasing organizational agreements for pharmaceuticals.

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What is pharmacy conversion member input?

Pharmacy conversion member input refers to the process of providing necessary data about members transitioning to a different pharmacy benefits plan or program.

Who is required to file pharmacy conversion member input?

Entities responsible for reporting pharmacy benefits, such as health insurance companies, pharmacy benefit managers, or employers offering health plans, are required to file pharmacy conversion member input.

How to fill out pharmacy conversion member input?

To fill out pharmacy conversion member input, gather all required member details, including identification numbers and current pharmacy benefits, and follow the specific guidelines or forms provided by the governing body overseeing pharmacy benefits.

What is the purpose of pharmacy conversion member input?

The purpose of pharmacy conversion member input is to ensure that members' prescription benefits are accurately transferred and that there is minimal disruption to their access to necessary medications during the transition.

What information must be reported on pharmacy conversion member input?

Information that must be reported includes member identification details, current medication list, prior authorizations, coverage levels, and any special considerations relevant to the member's pharmacy benefits.

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