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Carboxylic acids / Dosage forms / Amines / Baclofen / Organochlorides / Intrathecal / Spasticity / Cerebral palsy / Dose / Medicine / Chemistry / Health


Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:
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Document Date: 2013-05-06 15:26:35

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File Size: 175,44 KB

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Facility

Pharmacy Services Subject / /

MedicalCondition

spasms / multiple sclerosis / cerebral palsy / chronic infusion / spinal cord injury / /

MedicalTreatment

catheter / /

Organization

DOSAGE AND ADMINISTRATION / /

Position

related specialist / neurologist / /

Product

Lioresal / Baclofen / /

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