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Atypical antipsychotics / Piperazines / Antipsychotic / Schizophrenia / Organochlorides / Clozapine / Typical antipsychotic / Psychosis / Tardive dysphrenia / Psychiatry / Abnormal psychology / Psychopathology


MULTANTIPSYC.4 Form # 20440 R:09.08 State of Maine Department of Health &Human Services MaineCare/MEDEL Prior Authorization Form
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Document Date: 2012-03-19 13:36:25

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File Size: 34,50 KB

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MedicalCondition

psychotic mental illness / affective illness / schizophrenia / /

MedicalTreatment

polypharmacy / /

Organization

Department of Health / /

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Product

clozapine / Refills ANTIPSYCHOTIC / /

Technology

TMAP algorithm / /

SocialTag