Prior Authorization Request Form Kentucky Medicaid – Fee For Service Buprenorphine Product PA’s can only be requested by authorized physicians using this form. Buprenorphine Products - Buprenorphine naloxone - Document - PDFSEARCH.IO

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	Prior Authorization Request Form Kentucky Medicaid – Fee For Service Buprenorphine Product PA’s can only be requested by authorized physicians using this form. Buprenorphine Products Add to Reading List Document Date: 2014-09-12 02:42:43 Open Document File Size: 105,85 KB Share Result on Facebook City First / Recipient / / Company Magellan Medicaid Administration Inc. / / MedicalCondition drug abuse / / MedicalTreatment counseling / / Organization FDA / / / Product Naloxone / Suboxone / / SocialTag Morphinans Drug rehabilitation Ketones Phenols Buprenorphine Naloxone Drug Addiction Treatment Act Opioid dependence Methadone Chemistry

Prior Authorization Request Form Kentucky Medicaid – Fee For Service Buprenorphine Product PA’s can only be requested by authorized physicians using this form. Buprenorphine ProductsAdd to Reading List