Loading
Form preview picture

Get Form 13a

Lication for Provider Enrollment (MEDCO-13A). This form is only applicable to providers who are not required to become BWC certified (see Medco-13 application if your provider type is not listed in section 1.) Note to pharmacy providers: Pharmacies must apply directly with BWC s current pharmacy benefits manager (PBM) to be issued a BWC provider number. Our current PBM is Catamaranrx. You may contact it through email at provider.contracting catamaranrx.com or at www.sxc. com/pharmacies, or cal.

How It Works

css rating
4.8Satisfied
38 votes

Tips on how to fill out, edit and sign ProviderRelationssxc online

How to fill out and sign OBG online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The prep of legal paperwork can be high-priced and time-ingesting. However, with our preconfigured online templates, everything gets simpler. Now, working with a Form 13a requires not more than 5 minutes. Our state-specific web-based samples and crystal-clear recommendations remove human-prone mistakes.

Comply with our easy steps to get your Form 13a well prepared rapidly:

  1. Pick the template from the library.
  2. Enter all necessary information in the necessary fillable fields. The easy-to-use drag&drop graphical user interface makes it simple to include or relocate areas.
  3. Make sure everything is filled out appropriately, without any typos or missing blocks.
  4. Use your e-signature to the page.
  5. Click Done to confirm the adjustments.
  6. Download the record or print your PDF version.
  7. Send immediately to the recipient.

Make use of the fast search and innovative cloud editor to make an accurate Form 13a. Clear away the routine and produce paperwork on the web!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

MEDCO-13 FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Form 13a

  • PBM
  • llc
  • css
  • ohiobwc
  • E-Mail
  • BWC-3915
  • MEDCO-13
  • DMA
  • ProviderRelationssxc
  • 1-800-OHIOBWC
  • taxonomy
  • OBG
  • false
  • fw9
  • NCPDP
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.