| Document Information | ||
|---|---|---|
Get help downloading & printing files. |
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| Title | ||
| Description | Billing manual for those providers that bill the department on the Statement for Pharmacy Services (F245-100-000) and the Statement for Compound Prescription (F245-110-000) bill forms. | |
| Detail | ||
| Form number | F248-021-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | ||
| Languages | English | |
| Valid dates | All dates valid | |
| Contact information | ||
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