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Number(s): 01-16-21, 09-16-19, 27-16-19, 02-16-18, 11-16-18, 30-16-18, 03-16-18, 14-16-19, 31-16-23, 08-16-19, 24-16-21, 32-16-17, 33-16-18
Issue Date: 07/05/2016
Effective Date: 07/11/2016
Subject: Prior Authorization of Antifungals, Topical - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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