| Advantage U Medical and Part B Pharmacy Services Prior Authorization List - Printable |
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| Medical Prior Authorization Form - Online |
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| Medical Prior Authorization Form - Printable |
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| Medicare Prescription Drug Coverage Determination Request Form (PPO) |
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| Online Secure Medicare Prescription Drug Coverage Determination Request Form (PPO) |
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| Medicare Prescription Drug Coverage Redetermination Form (PPO) |
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| Online Secure Medicare Prescription Drug Coverage Redetermination Request Form (PPO) |
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| Tiering Exception Form |
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| Quantity Limit Exception Form |
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| Step Therapy Exception Form |
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| Non-Formulary Exception Form |
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| Appeal and Reconsideration Form |
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| Vision Benefits Flyer |
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| Hearing Benefits Flyer |
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