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Number(s): 01-18-15, 02-18-10, 03-18-10, 08-18-17, 09-18-16, 11-18-10, 14-18-11, 24-18-11, 27-18-14, 30-18-10, 31-18-16, 32-18-10, 33-18-15
Issue Date: 07/23/2018
Effective Date: 07/23/2018
Subject: Prior Authorization of Monoclonal Antibodies - Anti-IL, Anti-IgE (MABs-Anti-IL, Anti-IgE) – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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