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Chron's Enrollment Form

Gauchers Enrollment Form

Growth Hormone Enrollment Form

Hemophilia Enrollment Form

Hepatitis Enrollment Form

HIV Enrollment Form

Infertility Enrollment Form

Injectable Enrollment Form

Multiple Sclerosis Enrollment Form

Organ Transplant Enrollment Form

Osteoarthritis Enrollment Form

Psoriasis Enrollment Form

Rheumatoid Arthritis Enrollment Form

Ulcerative Colitis Enrollment Form

Colorectal Screening
Colorectal screening can save your life. Did you know colorectal cancer is the 3rd most common cancer found in men and women in the U.S.?

HIPAA Compliance
CHA is now accepting HIPAA-compliant claims. We are
following our contingency plan in case any claims
received aren't HIPAA-compliant. We don't recommend
any current EDI submitter revert to paper claims, but
we do encourage all providers to become compliant as
soon as they are able.

Visit the CMS web site for more info or call 866-
282-0659.

Do you suffer from Allergies?
Try Claritin OTC™.

Claritin, Claritin D, and Claritin Syrup are available over-the-counter (OTC) with a prescription.

Loratadine is the generic name of Claritin, Alavert and many drug store brand names.

The cost of these products may be lower than the copayment of prescription brand name antihistamines.

Ask your doctor if Claritin or other OTC loratadine products are right for you.

You may find coupons and more information on OTC brand name products at www.claritin.com and www.alavert.com.

Important information about reducing costs of PPI's:

Prilosec OTC™ is now a CHA Health preferred medication.

No prior authorization is required

CHA Health will pay with a precription

Members pay only first-tier copayments for up to 60 tablets per month

To learn more, click here or contact our Pharmacy Director, Phil Hanus, at (859) 232-8583 or toll-free at (800) 457-5683.

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