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Number(s): 01-15-18, 02-15-15, 03-15-15, 08-15-18, 09-15-18, 11-15-15, 14-15-15, 24-15-16, 27-15-15, 30-15-15, 31-15-18, 32-15-15, 33-15-17
Issue Date: 06/25/2015
Effective Date: 07/20/2015
Subject: Prior Authorization of GI Motility, Chronic Agents (Formerly Irritable Bowel Syndrome Agents) - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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