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Number(s): 01-16-31, 09-16-29, 27-16-28, 02-16-27, 11-16-27, 30-16-27, 03-16-27, 14-16-28, 31-16-33, 08-16-29, 24-16-30, 32-16-26, 33-16- 28
Issue Date: 10/20/2016
Effective Date: 10/31/2016
Subject: Prior Authorization of Botulinum Toxins - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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