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Number(s): 01-18-12, 02-18-07, 03-18-07, 08-18-14, 09-18-13, 11-18-07, 14-18-08, 24-18-08, 27-18-11, 30-18-07, 31-18-13, 32-18-07, 33-18-12
Issue Date: 07/23/2018
Effective Date: 07/23/2018
Subject: Prior Authorization of Analgesics, Non-Opioid Barbiturate Combinations – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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