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Prior authorization
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#	Item
101	Diabetic Supplies Preferred Product List Effective January 27, 2015 NOTE: The following diabetic supplies are available without Prior Authorization (PA). Manufacturer ABBOTT Add to Reading List Source URL: kyportal.magellanmedicaid.com Language: English - Date: 2015-01-09 08:56:29 Test strip Johnson & Johnson LifeScan Verio
102	Medicare Prior Authorization of Power Mobility Devices Demonstration Status Update (Posted[removed]The Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration began on September 1, 2012 in Califor Add to Reading List Source URL: www.cms.gov Language: English - Date: 2014-12-30 14:13:11 Medicare Government Medicaid Health Public policy Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
103	HEP C Form # 10700 R: 01.15 State of Maine Department of Health & Human Services MaineCare/MEDEL Prior Authorization Form Add to Reading List Source URL: www.mainecarepdl.org Language: English - Date: 2015-01-16 08:58:16 Hepatitis C Interferon Cirrhosis Ribavirin Liver transplantation Hepatitis Regimen Hepatitis C and HIV co-infection Tuberculosis treatment Medicine Antivirals Hepatology
104	RING OF FIRE EXPEDITIONS Travel Leaders CREDIT CARD AUTHORIZATION FORM WE USE THIS FORM TO PREVENT CREDIT CARD FRAUD. This form can be completed prior to Add to Reading List Source URL: www.eclipsetours.com Language: English - Date: 2012-01-30 21:18:48 Merchant services Bank card number Business Payment systems Merchant account EMV Credit card Electronic commerce Financial economics
105	Municipal Health Benefit Plan Prescription Drug Program – Prior Authorization List The Municipal Health Benefit Fund prescription drug pro Add to Reading List Source URL: static.ark.org Language: English - Date: 2014-10-20 15:48:33 Chemistry Acetamides Nootropics Stimulants Sulfoxides Xyrem Sitagliptin Liraglutide Armodafinil Medicine Pharmacology Anti-diabetic drugs
106	InterCommunity Health Network CCO 2015 PRIOR AUTHORIZATION LIST INTERCOMMUNITY HEALTH NETWORK CCO Coverage of certain medical services and surgical procedures requires InterCommunity Health Network Coordinated Care Organ Add to Reading List Source URL: www.samhealth.org Language: English - Date: 2015-01-02 17:36:44 Special education Therapy Medicine Occupational therapy Rehabilitation medicine
107	Centers for Medicare & Medicaid Services Special Open Door Forum: Prior Authorization of Non-Emergent Hyperbaric Oxygen Therapy Tuesday, February 3, 2015 1:30-2:30 pm Eastern Time Conference Call Only Add to Reading List Source URL: www.cms.gov Language: English - Date: 2015-01-23 12:13:00 Medicine Health Medicare United States Department of Health and Human Services Government Medicaid Centers for Medicare and Medicaid Services Hyperbaric medicine Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
108	7.6 General Requirements for Prior Authorization and Program Exception Requests for Advanced Radiologic Imaging Services[removed]Services That Require Prior Authorization or a Program Exception The following advanced radio Add to Reading List Source URL: www.dhs.state.pa.us Language: English - Date: 2014-12-01 10:04:00 Presidency of Lyndon B. Johnson Medical necessity Government Federal assistance in the United States Healthcare reform in the United States Medicare
109	PROVIDER NETWORK FAX BLAST COMMUNICATION NHHF/US Script’s Partnership with www.covermymeds.com Makes Access to Medication Prior Authorizations (PA) Forms Faster and Easier Medication Prior Authorization (PA) forms* ar Add to Reading List Source URL: www.nhhealthyfamilies.com Language: English - Date: 2015-01-08 12:54:29 Federal assistance in the United States Healthcare reform in the United States Medicare Presidency of Lyndon B. Johnson Health Insurance Portability and Accountability Act Medical prescription Health Medicine Pharmaceuticals policy
110	US Script Prior Authorization Phone Number A dedicated provider phone number exists for questions related to prior authorization requests for US Script. The dedicated provider prior authorization support line for US Scri Add to Reading List Source URL: www.nhhealthyfamilies.com Language: English - Date: 2014-12-29 15:59:16 Service Economics Merchant services Payment systems Business Goods Marketing

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