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Instructions to Submit a Prescription Drug List to our Office

I have a scheduled appointment:

1) Submit your prescription drugs, doctors, specialists, dental, and vision providers - 5 days prior to your appointment. 

2) Each individual submits a separate form.

3) If we don't receive it, we will contact you

Re-shop my Part D Prescription Drug Plan:

1) Available Oct 1st -Nov 30th only.

2) Each individual submits a separate form.

3) We process in the order received, patiently allow us to contact you.

SUBMISSION BUTTON AT BOTTOM OF PAGE

Thanks for submitting!

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