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Number(s): 01-17-36, 02-17-31, 03-17-31, 08-17-38, 09-17-35, 11-17-31, 14-17-32, 24-17-32, 27-17-33, 30-17-32, 31-17-37, 32-17-31, 33-17-36
Issue Date: 12/27/2017
Effective Date: 01/08/2018
Subject: Prior Authorization of Analgesics, Opioid Long Acting - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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