Non-Fillable Form
…and receipts to request reimbursement. Submit reimbursement requests to PRC Supervisor. Please note: Patients need to utilize the Oneida Pharmacy if it is open, or you may not be eligible…
https://oneida-nsn.gov/wp-content/uploads/2022/12/PRC-Services-Packet-and-Application-11-2022.pdf?_rt=NjgxfDY5fG1pbGYgZnVjayBidWRkeSByZXF1ZXN0IC0tLSZndDsgZWR1LWVkdS1lZHUtdS5ibG9nc3BvdC5jb20gJmx0Oy0tLSB8MTcyNjI5ODA1Mw&_rt_nonce=1d5ea2a824