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For additional information about the REVLIMID REMSÂ® program, please contact the Celgene Customer Care Center at 1-888-423-5436.
PRESCRIPTION DRUG PRIOR AUTHORIZATION REQUEST FORM. Plan/Medical Group Name: Care1st Health Plan Plan/Medical Group Phone#: (877) 792-2731. Plan/Medical Group Fax#: (323) 889-6254 or (866) 712-2731. Instructions: Please fill out all applicable sections on both pages completely and legibly. Attach any additional documentation that is.