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Number(s): 01-17-16, 02-17-14, 03-17-14, 08-17-15, 09-17-15, 11-17-14, 14-17-14, 24-17-14, 27-17-14, 30-17-15, 31-17-16, 32-17-14, 33-17-15
Issue Date: 01/31/2017
Effective Date: 01/31/2017
Subject: Prior Authorization of Stimulants and Related Agents – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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