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Organofluorides / Riluzole / Rare diseases / Chemistry / Medical prescription / Amyotrophic lateral sclerosis / Pharmaceutical sciences / Medical necessity / Health / Pharmacology / Benzothiazoles


MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES 1. Requirements for Prior Authorization of Rilutek (riluzole) A.
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Document Date: 2014-12-29 14:02:56

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File Size: 82,78 KB

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City

Cudkowicz / /

Company

Sanofi-Aventis U.S. LLC / /

MedicalCondition

ALS / Disease / amyotrophic lateral sclerosis / /

MedicalTreatment

respiratory therapies / /

Organization

Quality Standards Subcommittee / American Academy of Neurology / Quantity Limits Chapter FOR RENEWALS OF PRESCRIPTIONS FOR RILUTEK / /

Position

physician / neurologist / /

Product

riluzole / A. Prescriptions That Require Prior Authorization All prescriptions / Quantity Limits Chapter FOR RENEWALS OF PRESCRIPTIONS / Rilutek / /

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