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Number(s): 01-18-21, 09-18-22, 27-18-20, 33-18-21, 02-18-16, 11-18-16, 30-18-16, 03-18-16, 14-18-17, 31-18-22, 08-18-23, 24-18-17, 32-18-16
Issue Date: 07/23/2018
Effective Date: 07/23/2018
Subject: Prior Authorization of Idiopathic Pulmonary Fibrosis (IPF) Agents - Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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