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Initiate
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#	Item
871	PRIOR AUTHORIZATION POLICY Kineret® (anakinra for subcutaneous [SC] injection – Biovitrim) To Initiate a Coverage Review, Call[removed]OVERVIEW Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2014-08-12 13:02:40 Immunology Rheumatology Arthritis Monoclonal antibodies Rare diseases Anakinra Rheumatoid arthritis Cryopyrin-associated periodic syndrome Muckle–Wells syndrome Medicine Health Immunosuppressants
872	Zegerid Step Therapy Coverage Review and Quantity Duration Limits To Initiate a Coverage Review, Call[removed]  Coverage Review Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2013-10-03 14:59:33 Benzimidazoles Sulfoxides Medicine Organic chemistry AstraZeneca Omeprazole Esomeprazole Lansoprazole Peptic ulcer Proton pump inhibitors Pyridines Chemistry
873	Aciphex (Brand Only) Step Therapy Coverage Review and Quantity Duration Limits To Initiate a Coverage Review, Call[removed]  Coverage Review Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2014-01-29 12:46:39 Pyridines Benzimidazoles Sulfoxides Organic chemistry Gastroenterology Omeprazole Lansoprazole Rabeprazole Esomeprazole Proton pump inhibitors Medicine Chemistry
874	* $500,000 of FLP funds will be used to initiate implementation of the Community Forest and Open Space Conservation Program, authorized in the 2008 Farm Bill. Add to Reading List Source URL: www.fs.fed.us - Date: 2010-02-26 16:30:12
875	COMPLAINTS POLICY The NECPA Commission retains the right to initiate a review of the accreditation of a program at any time on the basis of evidence of noncompliance with the standards. On the basis of information in the Add to Reading List Source URL: www.necpa.net Language: English - Date: 2013-12-12 17:05:17 Quality assurance Accreditation
876	PRIOR AUTHORIZATION POLICY Kalydeco® (ivacaftor tablets Vertex) To Initiate a Coverage Review, Call[removed] Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2014-04-24 08:24:08 Anilides Ivacaftor Phenols Quinolones Pancreas disorders Cystic fibrosis ΔF508 VX-809 Vertex Pharmaceuticals Biology Health Genetics
877	Diclofenac Potassium Powder for Oral Solution (Cambia®) To Initiate a Coverage Review, Call[removed]    Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2013-10-03 14:58:49 Chemistry Diclofenac Organochlorides Triptans Organic chemistry Migraine Prevention of migraines Headaches Non-steroidal anti-inflammatory drugs Pain
878	PRIOR AUTHORIZATION POLICY Egrifta™ (tesamorelin injection – EMD Serono) To initiate a Coverage Review, Call[removed]OVERVIEW Egrifta is an analog of human growth hormone-releasing factor (GRF), indicated for Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2013-10-03 14:58:53 Neuroendocrinology Peptide hormones Growth hormones Growth hormone treatment Pediatrics Growth hormone Lipodystrophy HIV-associated lipodystrophy Pituitary adenoma Endocrine system Biology Medicine
879	PRIOR AUTHORIZATION POLICY Victrelis™ (boceprevir capsules Merck) To Initiate a Coverage Review, Call[removed] Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2014-09-02 09:27:40 Protease inhibitors Cytokines Pyrazines Telaprevir Boceprevir Hepatitis C Peginterferon alfa-2a Interferon Hepatitis B Medicine Antivirals Hepatology
880	Noxafil To Initiate a Coverage Review, call[removed]  Posaconazole (Noxafil) Add to Reading List Source URL: statehealthplan.state.nc.us Language: English - Date: 2014-01-29 12:46:57 Triazoles Alcohols Organofluorides Lactams Posaconazole Fluconazole Itraconazole Antifungal medication Candidiasis Chemistry Antifungals Organic chemistry

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