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Number(s): 01-18-17, 02-18-12, 03-18-12, 08-18-19, 09-18-18, 11-18-12, 14-18-13, 24-18-13, 27-18-16, 30-18-12, 31-18-18, 32-18-12, 33-18-17
Issue Date: 07/23/2018
Effective Date: 07/23/2018
Subject: Prior Authorization of VMAT2 Inhibitors - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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