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.
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.
Form Details:
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.