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Number(s): 01-16-15, 09-16-14, 27-16-13, 02-16-13, 11-16-13, 30-16-13, 03-16-13, 14-16-13, 31-16-16, 08-16-14, 24-16-14, 32-16-12, 33-16-13
Issue Date: 06/13/2016
Effective Date: 06/13/2016
Subject: Prior Authorization of Antihyperuricemics - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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