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Number(s): 01-17-04, 09-17-03, 27-17-02, 02-17-02, 11-17-02, 30-17-03, 03-17-02, 14-17-02, 31-17-04, 08-17-03, 24-17-02, 32-17-02, 33-17-03
Issue Date: 01/31/2017
Effective Date: 01/31/2017
Subject: Prior Authorization of Analgesics, Narcotic Long Acting and Analgesics, Narcotic Short Acting – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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