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Get LTC CTO Request Form

Medco Health Solutions, Inc. 100 Parsons Pond Drive Franklin Lakes, NJ 07417 www.medco.com/rph LTC CTO Request Form (to be used by Long-Term Care Pharmacy for Claim Too Old (CTO) Exception Request).

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  3. Complete all of the required boxes (they will be yellow-colored).
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  5. Put the relevant date.
  6. Double-check the entire form to make certain you?ve completed all the data and no corrections are required.
  7. Press Done and download the ecompleted template to the gadget.

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