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Number(s): 01-17-13, 02-17-11, 03-17-11, 08-17-12, 09-17-12, 11-17-11, 14-17-11, 24-17-11, 27-17-11, 30-17-12, 31-17-13, 32-17-11, 33-17-12
Issue Date: 01/31/2017
Effective Date: 01/31/2017
Subject: Prior Authorization of Pituitary Suppressive Agents, LHRH - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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