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Number(s): 01-17-12, 02-17-10, 03-17-10, 08-17-11, 09-17-11, 11-17-10, 14-17-10, 24-17-10, 27-17-10, 30-17-11, 31-17-12, 32-17-10, 33-17-11
Issue Date: 01/31/2017
Effective Date: 01/31/2017
Subject: Prior Authorization of Nplate (romiplostim) - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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