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How to use or fill out 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form with DocHub
- Click ‘Get Form’ to open the 2023 CarePlus Over-the-Counter (OTC) Products Mail-Order Form in our editor.
- Begin by completing your personal information in Step 1. Fill in your Member ID, name, date of birth, gender, address, and phone number. If you have a new address, check the corresponding box.
- In Step 2, select the month for which you want to receive your order. Enter the quantity and product code for each item you wish to order from the catalog provided.
- Proceed to calculate your total order amount. If it exceeds your allowance, include payment details in Step 3. You can pay via check or credit card.
- Finally, send the completed form along with any payment to CenterWell Pharmacy using the provided mailing address. Ensure all sections are filled accurately before submission.
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