№ files_lp_3_process_7_046050
Administrative workers’ compensation form authorizing first fill prescription processing through the CorVel pharmacy network and outlining identification and claim submission procedures for injured workers and pharmacists.
Year: Not specified
Country: United States
Program Administrator: CorVel
Associated Organization: Puget Sound Worker’s Compensation Trust
Document Type: Prescription authorization form
Subject: Workers’ compensation pharmacy benefits
Intended Audience: Injured workers and pharmacists
Contact Phone: (800) 563-8438
BIN: 004336
PCN: ADV
RxGroup: RXFFWC849
Medication Supply Limit: Up to 10-day supply
Pharmacy Network: CorVel Network with over 65,000 participating pharmacies
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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