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Number(s): 01-19-07, 02-19-06, 03-19-06, 08-19-09, 09-19-07, 11-19-06, 14-19-06, 24-19-06, 27-19-07, 30-19-06, 31-19-07, 32-19-06, 33-19-07
Issue Date: 01/18/2019
Effective Date: 01/28/2019
Subject: Prior Authorization of Pulmonary Arterial Hypertension (PAH) Agents, Oral and Inhaled – Pharmacy Services
Program Office(s): Office of Medical Assistance Programs
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