requested non-preferred product / chemical entities / treatment of nausea and vomiting associated with cancer / /
MedicalCondition
injury / cancer / seizure disorder / unnecessary breakthrough pain / seizure / vomiting / AIDS / tinea pedis / strain / nausea / tinea / tinea capitis / chronic pain therapy / MS / Acne / post-herpetic neuralgia / tinea corporis / pityriasis / tinea cruris / /
MedicalTreatment
chemotherapy / /
Organization
BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS NON-PREFERRED AGENTS EFFECTIVE / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS ANTIFUNGALS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS ANTIEMETICS PREFERRED AGENTS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS NON-PREFERRED AGENTS DRUG CLASS ANALGESICS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC DRUG CLASS PREFERRED AGENTS / BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS DRUG CLASS ACNE AGENTS / /
BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS