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Medication Therapy Management (MTM) program opt-out
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I want to opt out of the Medication Therapy Management program with Blue Cross and Blue Shield of Minnesota this year.
I want to permanently opt out of Medication Therapy Management with Blue Cross. I do not want to be contacted about this program, even if I qualify in the future.
Member first name *
Member last name *
Date of birth (dd/mm/yyyy) *
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