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Carac Access Program .pdf


Original filename: Carac Access Program.pdf
Title: PowerPoint Presentation
Author: David, George

This PDF 1.5 document has been generated by Microsoft® PowerPoint® 2010, and has been sent on pdf-archive.com on 17/05/2016 at 16:01, from IP address 74.66.x.x. The current document download page has been viewed 224 times.
File size: 267 KB (1 page).
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To activate your card…
1) Call 1-855-280-0541
2) Press “1”
3) Enter the 10 digit ID: Number on the card.

Works ONLY at

4) Enter the 8 digit RxGRP: Number on the card.
5) Enter your Year and Date of Birth.
6) Enter your Zip Code.

You DO NOT NEED TO WAIT for
Prior Authorization completion to
pick up your prescription.

First, you will be asked...
“Is the patient who will use this card eligible for reimbursement of prescriptions (in whole or in part)
under any federal, state or other governmental programs, including, but not limited to, Medicare
(including Medicare Advantage and Part A, B and D plans), Medicaid, TRICARE, Veterans Administration
or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance
Plan or any other federal or state healthcare programs?”

…press “2”, for NO.
(NOTE: Many Medicare eligible patients MAY have supplemental commercial insurance, insurance
from employers or spouses, retirement health-fund insurance, or other forms of commercial
prescription reimbursement that is not funded in whole or in part by the government. Eligibility will
be confirmed when the pharmacist processes this card if activated according to these instructions.)

Next, you will be asked...
“Is the patient who will use this card eligible for reimbursement of prescriptions (in whole or in part)
under any commercial insurance?”

…press “1”, for YES.
Finally, you will be asked...
“Please confirm that, by activating this card, you have read, understand and will comply with the terms
and conditions of this program and that you currently meet all eligibility criteria.”

…press “1”, for YES.


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