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SPECIALTY DRUG: MBR CALL 866-387-2573 PRODUCT,SERVICE NOT APPROPRIATE FOR THIS EVERY 6 MONTHS 180 units Per Dose: D Doses Per De y: 1.000 0.006 Fills Owed: Accumula ted Deductible: Remaining Deductible : Benefits Remaining: Amount Applied to Periodic Deduct*. Cope y 'Co ance : DAW: I -Substitution Not v- QtyOvved'. …

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mobile app or by calling CVS at 866-249-6175. I take a specialty medication. How do I check on the status of that medication? For questions regarding a specialty medication please reach out to CVS Specialty at 866-387-2573. Prescription ID Cards Will I receive a new ID Card? SPECIALTY DRUG: MBR CALL 866-387-2573 DRUG REQUIRES PRIOR AUTHORIZATION NOT APPROPRIATE FOR THIS BIN PCN OEL OH Locked Active 0 - Not Sec Insurance In fiymation Vi on; Phone Field FIRST Description Expires On; Primary plan Secondary Plan Ternary plan . Title: Untitled Author:

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CVS Specialty Pharmacy at 1-866-387-2573. For most specialty drugs, the contracted specialty drug mail-order pharmacy is required. • These drugs must be filled via the CVS Specialty Pharmacy. Call 1-866-387-2573. • Specialty drugs that are essential health benefits and obtained from in-network retail and mail order

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