![Morphinans / Anti-acne preparations / Alcohols / Phenols / Combination drugs / Tramadol / Benzoyl peroxide / Sulfacetamide/sulfur / Codeine / Chemistry / Organic chemistry / Medicine Morphinans / Anti-acne preparations / Alcohols / Phenols / Combination drugs / Tramadol / Benzoyl peroxide / Sulfacetamide/sulfur / Codeine / Chemistry / Organic chemistry / Medicine](https://www.pdfsearch.io/img/5368e4060581443f29a901162d60fdc2.jpg) Date: 2011-03-04 15:52:11Morphinans Anti-acne preparations Alcohols Phenols Combination drugs Tramadol Benzoyl peroxide Sulfacetamide/sulfur Codeine Chemistry Organic chemistry Medicine | | BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover pAdd to Reading ListSource URL: www.dhhr.wv.govDownload Document from Source Website File Size: 420,74 KBShare Document on Facebook
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