Back to Results
First PageMeta Content
Pharmacy / Medicaid / Enfuvirtide / Biology / Viral load / Antiretroviral drug / HIV / HIV/AIDS / Medicine / Health


Kansas Medical Assistance Program P O Box 3571 Topeka, KS[removed]Provider[removed]Beneficiary[removed]
Add to Reading List

Document Date: 2013-01-01 09:43:59

Open Document

File Size: 61,85 KB

Share Result on Facebook

City

Beneficiary Medicaid / Topeka / /

Facility

Pharmacy Medicaid ID# / Pharmacy Name / /

MedicalCondition

serious Opportunistic Infections / HIV / influenza / end-stage disease / /

MedicalTreatment

immunizations / /

Organization

Prior Authorization Unit / /

/

Position

Physician / Yes_______ No_______ Prescribing Physician / /

Product

Fuzeon / /

ProvinceOrState

Kansas / /

Technology

genotype / /

SocialTag