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Number(s): 01-18-33, 02-18-28, 03-18-29, 08-18-36, 09-18-34, 11-18-28, 14-18-29, 24-18-30, 27-18-33, 30-18-28, 31-18-34, 32-18-28, 33-18-33
Issue Date: 12/13/2018
Effective Date: 12/17/2018
Subject: Prior Authorization of Hypoglycemics, TZDs – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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