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1.Evidence of Coverage- describes in details what is covered, what is not covered, and insurance benefits will be paid. Includes exclusions, limitations, and other plan-specific information regarding benefit coverage.
2.Drug-List or Formularies-
*PRESCRIPTION DRUG LIST OR FORMULARY- drugs and generic that approved by FDA covered through a prescription drug benefit. Known as DRUG-LIST
3.Summary of Benefits and Coverage
4. Claim Forms
5. Reimbursement Form
6. Authorization to disclose health information form
*PRESCRIPTION DRUG LIST OR FORMULARY- drugs and generic that approved by FDA covered through a prescription drug benefit. Known as DRUG-LIST
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