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MassHealth Pharmacy Publications and Notices for Pharmacy Providers

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POPS Information

Open PDF file, 1.87 MB,  POPS Billing Guide (English, PDF 1.87 MB)
Open DOCX file, 607.97 KB,  POPS Billing Guide (English, DOCX 607.97 KB)

Billing Forms

Open PDF file, 45.46 KB,  90-Day Waiver Form (English, PDF 45.46 KB)
Open TXT file, 3.73 KB,  90-Day Waiver Form (English, TXT 3.73 KB)
Prior Authorization Forms 

Copay Poster

Open PDF file, 112.53 KB,  Copay Poster (English) (English, PDF 112.53 KB)
Open DOCX file, 30.05 KB,  Copay Poster (English) (English, DOCX 30.05 KB)

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