Medicare Part D, also called the Medicare prescription drug benefit Authorization Request Form
Medicare Part D Authorization Request Form authorizes someone else to take benefit of Medicare prescription drug benefit program. Complete the following medicare part D form to fax to 1-800-837-0959.
Medicare Part D is a federal program to subsidize the costs of prescription drugs for Medicare beneficiaries in the United States. To take benefit of this program you have to be a part of Medicare Part D program with a little monthly premium (which is auto-deductible from your social security payment).