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Number(s): 01-15-20, 02-15-17, 03-15-17, 08-15-20, 09-15-20, 11-15-17, 14-15-17, 24-15-18, 27-15-17, 30-15-17, 31-15-20, 32-15-17, 33-15-19
Issue Date: 06/25/2015
Effective Date: 07/20/2015
Subject: Prior Authorization of Platelet Aggregation Inhibitors - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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