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Number(s): 01-17-38, 02-17-33, 03-17-33, 08-17-40, 09-17-37, 11-17-33, 14-17-34, 24-17-34, 27-17-35, 30-17-34, 31-17-39, 32-17-33, 33-17-38
Issue Date: 12/27/2017
Effective Date: 01/08/2018
Subject: Prior Authorization of Multiple Sclerosis Agents - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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