![Morphinans / Drug rehabilitation / Ethers / Ketones / Buprenorphine / Opioid dependence / Methadone / Naloxone / Medical prescription / Chemistry / Organic chemistry / Alcohols Morphinans / Drug rehabilitation / Ethers / Ketones / Buprenorphine / Opioid dependence / Methadone / Naloxone / Medical prescription / Chemistry / Organic chemistry / Alcohols](https://www.pdfsearch.io/img/fac39e1eb3d5c9b2a290a5b6e4f1abe3.jpg)
| Document Date: 2012-05-01 10:46:27 Open Document File Size: 305,01 KBShare Result on Facebook
Company Goold Health Systems / Pharmacy Prescription Drug Monitoring Program / / Facility Pharmacy NPI / University of Washington / GHS pharmacy / Pharmacy Services Program PRIOR AUTHORIZATION REQUEST FORM / Pharmacy Name / / Organization University of Washington / Department of Health Division of Healthcare Financing Dear Providers / / / Position Major / General / Case Manager / / Product SUBUTEX / SEROQUEL / naloxone / SUBOXONE / / ProvinceOrState Wyoming / / URL www.wyequalitycare.org / http /
SocialTag |