Capital Rx Prior Authorization Form
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for any legal or clinical information, please send physical mail to: To get information about filling your prescription by mail through alliancerx walgreens, contact alliancerx walgreens at 1.855.924.8421, (tyy users should call 711), 24 hours a day, 7 days a week. Or print and mail the alliancerx walgreens mail order form. Prior authorization 9450 sw gemini dr., #87234 beaverton,.
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To get information about filling your prescription by mail through alliancerx walgreens, contact alliancerx walgreens at 1.855.924.8421, (tyy users should call 711), 24 hours a day, 7 days a week.