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Number(s): 01-15-39, 09-15-37, 27-15-31, 02-15-31, 11-15-30, 30-15-30, 03-15-31, 14-15-32, 31-15-38, 08-15-37, 24-15-32, 32-15-31, 33-15-36
Issue Date: 11/30/2015
Effective Date: 12/01/2015
Subject: Prior Authorization of Corlanor (ivabradine) - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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