| Document Date: 2013-01-01 09:43:56 Open Document File Size: 61,53 KBShare Result on Facebook
City Beneficiary Medicaid / Topeka / / Facility Pharmacy Medicaid / Pharmacy Name / / MedicalCondition chronic lung disease / complex congenital heart disease / / Organization Prior Authorization Unit / / / Position Physician / / Product Synagis / / ProvinceOrState Kansas / /
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