Crime Victims Statement for Pharmacy Services


Document Information
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Title Crime Victims Statement for Pharmacy Services
Description

Used by Crime Victims Compensation Program providers to bill for pharmacy services. Crime Victims Compensation Program providers are required to bill using this form.

Document number F800-058-000
How to get this document
Keywords cvc, CVC, CVCP, drugs, medical billing, medical bills, pharmacist, pharmacy, prescriptions, reimbursement, victim
Alt Language(s)
Valid dates 09/2013
Contact information Crime Victims Compensation Program
Websites Help for Crime Victims

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