| Document Date: 2014-05-22 08:07:28
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Company Antara / / IndustryTerm wound care products / nutritional products / treatment of osteoporosis / covered pharmaceuticals / health care finance / antituberculosis products / levalbuterol solution / treatment of obesity / / MedicalCondition anticholinergic urinary incontinence / obesity / osteoporosis / influenza / asthma / / MedicalTreatment antibiotics / / Product Novolog / Procardia XL / Antara / Glumetza / Granisetron / naloxone / Procardia / pyrazinamide / sumatriptan / Dilacor XR / carisoprodol / Humulin N / Glipizide / ramipril / Taztia XT / Verelan PM / Cardizem LA / isradipine / Leflunomide / Velosulin BR / Novolog Mix / Humalog Mix / linezolid / Humalog / zonegran / Novolin / Gabitril / Cartia XT / Flunisolide / Novolin N / Quinapril / Humulin / Cardizem CD / Fortamet / lansoprazole / Adalat / Novolin R / doxylamine succinate / oxcarbazepine / repaglinide / felodipine / omeprazole / fexofenadine / nifedipine / isoniazid / albuterol / Tretinoin / Humulin R / Nabumetone / rifampin / Betaxolol / pyridoxine hydrochloride / rabeprazole / lovastatin / Glucophage XR / pantoprazole / zolpidem / ondansetron / nizatidine / Zaleplon / / ProvinceOrState Kansas / /
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[removed]Prior authorization. (a) Any medical service may be placed by the Kansas department of health and environment, division of health care finance on the published list of services requiring prior authorization or p