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2023 Over-the-Counter (OTC) Benefit Catalog - Keystone First VIP-2026
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- Click ‘Get Form’ to open the 2023 Over-the-Counter (OTC) Benefit Catalog in our editor.
- Begin by entering your personal information at the top of the form, including your name, address, and member ID number.
- Next, navigate to the product selection section. Here, you can browse through the available OTC items listed in the catalog.
- For each item you wish to order, enter the item number, quantity desired, and unit price in the designated fields.
- Once you have completed your selections, calculate the total order amount and ensure it does not exceed your benefit limit.
- Finally, save your completed form and either print it for mailing or submit it directly online if using our platform's features.
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