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Number(s): 01-16-06, 09-16-06, 27-16-06, 02-16-06, 11-16-06, 30-16-06, 03-16-06, 14-16-06, 31-16-06, 08-16-06, 24-16-06, 32-16-06, 33-16-06
Issue Date: 01/06/2016
Effective Date: 01/20/2016
Subject: Prior Authorization of Methotrexate - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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