Form DMHC10-242 Application Form for Pharmacy Benefit Manager Registration - California

Form DMHC10-242 Application Form for Pharmacy Benefit Manager Registration - California

What Is Form DMHC10-242?

This is a legal form that was released by the California Department of Managed Health Care - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DMHC10-242 Application Form for Pharmacy Benefit Manager Registration?
A: The DMHC10-242 Application Form is the registration form for Pharmacy Benefit Managers in California.

Q: Who needs to submit the DMHC10-242 Application Form?
A: Pharmacy Benefit Managers operating in California need to submit the DMHC10-242 Application Form.

Q: What information is required in the DMHC10-242 Application Form?
A: The DMHC10-242 Application Form requires information such as the pharmacy benefit manager's name, contact information, and license information.

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Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the California Department of Managed Health Care;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DMHC10-242 by clicking the link below or browse more documents and templates provided by the California Department of Managed Health Care.

Download Form DMHC10-242 Application Form for Pharmacy Benefit Manager Registration - California

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