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Number(s): 01-18-28, 09-18-29, 27-18-28, 33-18-28, 02-18-23, 11-18-23, 30-18-23, 03-18-24, 14-18-24, 31-18-29, 08-18-31, 24-18-25, 32-18-23
Issue Date: 12/12/2018
Effective Date: 12/17/2018
Subject: Prior Authorization of Hepatitis C Agents – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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