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  • PrescriptionRequestForm 5

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    edreisinger1
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    To have prescriptions filled through Mark Cuban's Cost Plus Drug Company, patients complete steps 1-3 by creating an account, selecting their medications, and providing their email address. Healthcare providers then submit electronic prescriptions to the Cost Plus Drug Company pharmacy, including the patient's email address, to match prescriptions with the patient's account.

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    To have prescriptions filled through Mark Cuban's Cost Plus Drug Company, patients complete steps 1-3 by creating an account, selecting their medications, and providing their email address. Healthcare providers then submit electronic prescriptions to the Cost Plus Drug Company pharmacy, including the patient's email address, to match prescriptions with the patient's account.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    13 views1 page

    PrescriptionRequestForm 5

    Uploaded by

    edreisinger1
    To have prescriptions filled through Mark Cuban's Cost Plus Drug Company, patients complete steps 1-3 by creating an account, selecting their medications, and providing their email address. Healthcare providers then submit electronic prescriptions to the Cost Plus Drug Company pharmacy, including the patient's email address, to match prescriptions with the patient's account.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    To have your prescriptions filled, it’s as simple as 1, 2, 3.

    Please complete steps #1-3 below and


    share this form with your healthcare provider to complete step #4.

    https://costplusdrugs.com/create-account/

    https://costplusdrugs.com/medications/

    Step 4: Providers: Please Submit Electronic Prescriptions to:

    Perform pharmacy search for:


    “Mark Cuban Cost Plus Drug Company”

    NCPDP ID: 3689568

    IMPORTANT: Providers MUST INCLUDE THE PATIENT’S EMAIL


    ADDRESS (see box above). Our pharmacy system requires an
    email address to match new prescriptions with patients.

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