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Get TRICARE Other Health Insurance Form - Express Scripts

Hat you have other health insurance (OHI). Under your TRICARE plan, you re required to provide full disclosure of OHI; doing so helps to protect the benefit for everyone. Be advised that it s a violation of federal law to fill a prescription only through TRICARE when OHI is in place for you. To avoid delays and complications in processing your benefits, please complete the form on the other side of this letter and return it to: Express Scripts P.O. Box 60903 Phoenix, AZ 85082-0903 You.

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