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Prior authorization
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261	Medicare Prior Authorization of Power Mobility Devices Demonstration Status Update (posted[removed]On August 31, 2013 the Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration reached its one ye Add to Reading List Source URL: www.cms.gov Language: English - Date: 2014-05-22 12:12:27 Medicare Medicaid Government Health Politics Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
262	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 p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2013-07-24 08:18:40 Anti-acne preparations Alcohols Phenols Ketones Tramadol Benzoyl peroxide Clindamycin Codeine Hydrocodone Chemistry Organic chemistry Morphinans
263	UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM BUTALBITAL-CONTAINING PRODUCTS Patient name:___________________________________Medicaid ID #:________________________________ Prescriber Name:_________________ Add to Reading List Source URL: medicaid.utah.gov Language: English - Date: 2014-08-07 16:26:15 Alkenes Analgesics Morphinans Phenols Barbiturates Butalbital Paracetamol Codeine Aspirin Chemistry Pharmacology Medicine
264	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 p Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2012-11-01 09:33:37 Alcohols Phenols Anti-acne preparations Euphoriants Tramadol Benzoyl peroxide Codeine Hydromorphone Clindamycin Chemistry Organic chemistry Morphinans
265	UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION DUR BOARD APPEAL REQUEST FORM Patient name:___________________________________Medicaid ID #:________________________________ Prescriber Name:_________________Prescriber NPI# Add to Reading List Source URL: medicaid.utah.gov Language: English - Date: 2014-08-07 16:26:16 Health Off-label use Food and Drug Administration Pharmaceutical drug Ohio Automated Rx Reporting System Medical prescription Pharmacology Pharmaceutical sciences Medicine
266	UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM AMITIZA (lubiprostone) Patient name:_______________________________________________ Medicaid ID #:_____________________ Prescriber Name:________________________ Add to Reading List Source URL: medicaid.utah.gov Language: English - Date: 2014-08-07 16:26:15 Laxatives General practice Feces Constipation Irritable bowel syndrome Lubiprostone Polyethylene glycol Medicine Health Gastroenterology
267	Prior Authorization of Power Mobility Devices (PMD) Demonstration Updated September 18, [removed] Add to Reading List Source URL: www.cms.gov Language: English - Date: 2014-01-08 14:44:20 Medicare Presidency of Lyndon B. Johnson Healthcare in Australia National Provider Identifier Government Medicine Health Healthcare reform in the United States Federal assistance in the United States
268	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 Add to Reading List Source URL: www.dhhr.wv.gov Language: English - Date: 2011-02-25 09:23:33 Anti-acne preparations Morphinans Combination drugs Phenols Alcohols Sulfacetamide/sulfur Clindamycin Hydromorphone Tramadol Chemistry Organic chemistry Medicine
269	UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM ARAVA (leflunomide) Patient name:___________________________________Medicaid ID #:________________________________ Prescriber Name:_________________Prescriber N Add to Reading List Source URL: medicaid.utah.gov Language: English - Date: 2014-12-05 10:50:08 Immunosuppressants Arthritis Rheumatology Connective tissue diseases Rheumatoid arthritis Leflunomide Methotrexate Health Medicine Anatomy
270	UTAH DEPARTMENT OF HEALTH, PRIOR AUTHORIZATION REQUEST FORM ARALAST (alpha-1-proteinase inhibitor) Patient name:___________________________________Medicaid ID #:________________________________ Prescriber Name:__________ Add to Reading List Source URL: medicaid.utah.gov Language: English - Date: 2014-08-07 16:26:15 Smoking Medical necessity Methadone Pharmacy Organic chemistry Chemistry Medicine Emphysema

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