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Number(s): 01-16-27, 09-16-25, 27-16-25, 02-16-24, 11-16-24, 30-16-24, 03-16-24, 14-16-25, 31-16-29, 08-16-25, 24-16-24, 32-16-23, 33-16-24
Issue Date: 07/07/2016
Effective Date: 07/18/2016
Subject: Prior Authorization of Opiate Overdose Agents - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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