Letter Templates

Title Summary Categories Link
Template Letter to Request Pharmacy Data

Use this for data requests of pharmacy data. Enter your recipient info as well as …

,
Template Letter to Request Removal of Gag Clause from Administrative Agreement

Gag Clause Prohibition. Enter your recipient info as well as your sender/from information. Be sure …

,
Template Letter to Request Mental Health Parity and Addictions Equity Act Information

Mental Health Parity. Enter your recipient info as well as your sender/from information. Be sure …

,
Template Letter to Request Information from Health Plan Brokers and Third Parties

Third Party Comp. Enter your recipient info as well as your sender/from information. Be sure …

,