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Number(s): 01-16-11, 09-16-13, 27-16-11, 02-16-11, 11-16-11, 30-16-11, 03-16-11, 14-16-11, 31-16-13, 08-16-11, 24-16-12, 32-16-11, 33-16-11
Issue Date: 03/14/2016
Effective Date: 03/14/2016
Subject: Prior Authorization of Stimulants and Related Agents - Pharmacy Service
Program Office(s): Office of Medical Assistance Programs
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