Palivizumab

Results: 156



#Item
31TO: RE: Maine Drug Utilization Review Board DATE: September 11, 2014 Maine DUR Board Meeting minutes from September 9, 2014

TO: RE: Maine Drug Utilization Review Board DATE: September 11, 2014 Maine DUR Board Meeting minutes from September 9, 2014

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Source URL: www.mainecarepdl.org

Language: English - Date: 2014-11-03 11:53:44
32Passport Health Plan Prior Authorization Form Synagis®

Passport Health Plan Prior Authorization Form Synagis®

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Source URL: www.passporthealthplan.com

Language: English - Date: 2014-11-03 08:41:59
33Palivizumab M12-420 Clinical Study Report R&D[removed]

Palivizumab M12-420 Clinical Study Report R&D[removed]

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Source URL: www.abbvie.com

Language: English - Date: 2014-10-07 18:52:01
34Synagis Provider Notice From: Sent: To:  Passport Health Plan

Synagis Provider Notice From: Sent: To: Passport Health Plan

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Source URL: www.passporthealthplan.com

Language: English - Date: 2014-10-03 10:02:22
35Palivizumab Prophylaxis — Alaska, 2014–15 RSV Season

Palivizumab Prophylaxis — Alaska, 2014–15 RSV Season

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Source URL: www.epi.hss.state.ak.us

Language: English - Date: 2014-09-23 14:16:17
36Passport Health Plan Prior Authorization Form Synagis® If the following information is not complete, correct, or legible, the PA process can be delayed. Use one form per member please. Member Information LAST NAME:

Passport Health Plan Prior Authorization Form Synagis® If the following information is not complete, correct, or legible, the PA process can be delayed. Use one form per member please. Member Information LAST NAME:

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Source URL: www.passporthealthplan.com

Language: English - Date: 2014-10-03 09:18:34
37Palivizumab Prophylaxis — Alaska, 2014–15 RSV Season

Palivizumab Prophylaxis — Alaska, 2014–15 RSV Season

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Source URL: www.epi.alaska.gov

Language: English - Date: 2014-09-23 14:16:17
38RSV Season Complete form in its entirety and fax to number listed below Last Name  weeks:

RSV Season Complete form in its entirety and fax to number listed below Last Name weeks:

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Source URL: dvha.vermont.gov

Language: English - Date: 2014-09-18 12:54:24
39Palivizumab Prophylaxis — Alaska, 2014–15 RSV Season

Palivizumab Prophylaxis — Alaska, 2014–15 RSV Season

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Source URL: epi.hss.state.ak.us

Language: English - Date: 2014-09-23 14:16:17
40Pharmacology / Human respiratory syncytial virus / Mononegavirales / Palivizumab / MedImmune / Massachusetts health care reform / Authorization / Medical prescription / Pharmaceutical sciences / AstraZeneca / Medicine / Health

Commonwealth of Massachusetts Executive Office of Health and Human Services Division of Medical Assistance 600 Washington Street Boston, MA[removed]

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Source URL: www.mass.gov

Language: English - Date: 2013-08-30 23:24:23