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Neurochemistry / Antiemetics / Ethers / Hypnotics / Anticholinergics / Doxylamine / Pyridoxine / Atovaquone/proguanil / Chemistry / Pyridines / Organic chemistry


Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:
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Document Date: 2014-02-06 14:34:04

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File Size: 111,25 KB

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Facility

Pharmacy Services Subject / /

MedicalCondition

nausea / vomiting / /

Position

related specialist / /

Product

doxylamine succinate / Delayed-Release Tablets / pyridoxine hydrochloride / /

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