tocolytic therapy / home infusion therapy / self-care / /
Organization
Division of Medical Assistance Home Tocolytic Infusion Therapy / Division of Medical Assistance / North Carolina Department of Health and Human Services / American Medical Association / HIT / Division of Medical Assistance Home Tocolytic Infusion Therapy Clinical Coverage Policy / Division of Health Service Regulation / Hospital for Above Admission / Division of Medical Assistance TOCOLYTIC PRIOR APPROVAL REQUEST FORM / Division of Facility Services / Medicaid / / /
Position
Physician Information Name Address Names / Initial registered nurse / obstetrician / nurse / physician / treating physician / General / registered pharmacist / ordering physician / Program Consultant / referring physician / physician / therapist / /
Microsoft Word - 3H-2-HomeTocolytic-Infusion-Therapy-Termination[removed]doc