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Number(s): 01-15-25, 09-15-25, 27-15-22, 02-15-22, 11-15-22, 30-15-22, 03-15-22, 14-15-22, 31-15-25, 08-15-25, 24-15-23, 32-15-22, 33-15-24
Issue Date: 09/04/2015
Effective Date: 09/09/2015
Subject: Prior Authorization of Opiate Dependence Treatments, Oral Buprenorphine Agents - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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