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Number(s): 01-18-13, 02-18-08, 03-18-08, 08-18-15, 09-18-14, 11-18-08, 14-18-09, 24-18-09, 27-18-12, 30-18-08, 31-18-14, 32-18-08, 33-18-13
Issue Date: 07/23/2018
Effective Date: 07/23/2018
Subject: Prior Authorization of Immunomodulators, Atopic Dermatitis – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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