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Texas Standardized Prior Authorization Request Form

July 14, 2023

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Our mission is to reduce the complexity and costs of pharmacy benefits with a cleaner business approach and the industry’s most advanced and flexible technology platform.

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300 Brannan St.
Suite 601
San Francisco, CA 94107

1331 W Powell Way
4th Floor
Lehi, UT 84043

6080 Tennyson Parkway,
Suite 500
Plano, TX 75024

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