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Get Pharmacy Manual - Lib Hebust Edu

- The Assure Card Assure is a Registered Trademark of BCE Emergis Sample Assure Card Data The Cardholder Identification Number The Cardholder Name Line The Second Name Line Other Text 4-5 4 4 4 4 5 5 Section 3 - Electronic Submissions Electronic Claims Process Electronic Adjustments/Error Descriptions Relationship Code and Date of Birth Common Reasons for Rejections Classes of Drugs with Restrictions Vacation Supply Claim Void Ba.

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