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Payer Info:

Attorney Info:

This page updates every Monday at 4:00PM EST

RxBin: 610106

RxPCN: PBMOCE

Group: BVRX

Member ID:

ICSYG0114

Injury Care Solutions

8016853301

Jacob B. Jensen

The Law Office of Bobby Udall

8019807777

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Card Limit:

$335.78

$1,000.00

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Coverage: Pain, Inflammation, Muscle Relaxants, PPIs

$664.22