6370-14423-IBM-1011-2025

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The document is a Prescription Reimbursement Claim Form for IBM employees, outlining the steps and requirements for submitting claims for prescription reimbursements. It includes sections for cardholder and patient information, submission requirements for receipts, and mailing instructions. The form emphasizes the importance of accuracy in the information provided and warns against fraudulent claims. It also provides contact information for inquiries related to enrollment and claim processing.

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2016	4.8 Satisfied (137 Votes)
2014	4.3 Satisfied (61 Votes)
2011	4.3 Satisfied (46 Votes)
2010	4.2 Satisfied (49 Votes)
2008	4 Satisfied (55 Votes)
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