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Sav rx prior authorization form

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ANY ORDERS RECEIVED WITHOUT PAYMENT COULD BE DELAYED. Sav-Rx Prescription Services P. O. Box 8 Fremont NE. 68026 1-800-228-3108 SAV-RX MAIL ORDER FORM Name ID Group Address City State Daytime Phone Evening Phone Patient Name if prescription is for other than the cardholder Patient Date of Birth NEW PRESCRIPTION Zip Place Refill Sticker s here or complete the information. Complete the information above Include your original prescription s in an envelope Refill Rx Include Credit Card information ...

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Who owns Save Rx?

Sav-Rx is a wholly owned subsidiary of A&A Drug Company Inc., a national pharmaceutical provider founded in 1966. Since its establishment, Sav-Rx has grown to over 10 million members nationwide.

How does Sav-Rx work?

The Sav-Rx Advantage Program is a cash discount card that may save you money on your prescriptions, if you are not eligible for coverage under your Fund's prescription plan or if you have prescriptions that are not covered under your prescription benefit.

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