| Document Date: 2014-07-21 15:25:40
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Company Magellan Health Services Inc. / Prozac Weekly / / IndustryTerm betamethasone solution / / Person Vivaglobin Multiple Sclerosis Fingolimod / / / Position prescribing physician / / Product Atacand HCT / Gris-Peg / Entocort EC / Pilopine HS / sodium sulfacetamide / Alphagan P / Seroquel XR / Diovan HCT / Bicillin C-R / Wellbutrin SR / lithium citrate / Depakote ER / Biaxin XL / Acular LS / Ery-Tab / valsartan / Benicar HCT / Neo-Fradin / amphotericin B / Sinemet CR / sodium polystyrene sulfonate / Proquin XR / Nitro-Bid / Norpace CR / Travatan Z / Cipro XR / quinidine gluconate / Blephamide S.O.P / Effexor XR / Reopro / Micardis HCT / divalproex sodium / valproic acid / sulfacetamide sodium / gentamicin / valproate sodium / Aceon / Miochol-E / penicillin V potassium / Poly-Pred / Cipro HC / Wellbutrin XL / fenoldopam mesylate / Risperdal Consta / Dilatrate-SR / EpiPen Jr / E.E.S / Atrovent HFA / Timoptic-XE / losartan potassium / nitroglycerin / Zyprexa Zydis / Nitro-Dur / Pred-G / aminocaproic acid / FML Forte / Rythmol SR / Teveten HCT / Betapace AF / lithium carbonate / Letairis / Remeron SolTab / Prozac Weekly / Bicillin L-A / quinidine sulfate / isosorbide mononitrate / Paxil CR / isosorbide dinitrate / Tofranil-PM / / Technology ANTI-INFECTIVES / /
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TennCare Attestation List July 24, 2014 To initiate an attestation request for any agent on the attestation list, the prescribing physician or the prescribing physician’s agent must call the Magellan Health Services Ca