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Gastroenterology / Janssen Pharmaceutica / Piperidines / Syndromes / Waterborne diseases / Diphenoxylate / Irritable bowel syndrome / Diarrhea / Loperamide / Medicine / Health / Antidiarrhoeals


Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:
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Document Date: 2013-04-23 09:11:17


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File Size: 181,81 KB

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Pharmacy Services Subject / /

MedicalCondition

diarrhea / traveler’s diarrhea / irritable bowel syndrome / functional diarrhea / breakthrough diarrhea / Active infection / lactose intolerance / HIV/AIDS / /

MedicalTreatment

Antiretroviral therapy / /

Product

atropine / /

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