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Number(s): 01-17-02, 02-17-01, 03-17-01, 08-17-02, 09-17-02, 11-17-01, 14-17-01, 24-17-01, 27-17-01, 30-17-02, 31-17-03, 32-17-01, 33-17-02
Issue Date: 01/04/2017
Effective Date: 01/04/2017
Subject: Prior Authorization of Opiate Dependence Treatments - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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