Prior authorization

Results: 1240



#Item
411

Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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Source URL: ahca.myflorida.com

- Date: 2014-02-06 15:18:30
    412Medical tests / Rare diseases / Molecular biology / Tay–Sachs disease / Medical genetics / Tissue typing / BRCA1 / Cystic fibrosis / Gene expression / Medicine / Biology / Health

    ATTENTION: Prior Authorization Update Quantitative Drug Testing for Drugs of Abuse & Molecular Diagnostic Testing Sunshine Health is committed to delivering cost effective quality care our members. This effort requires u

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    Source URL: www.sunshinehealth.com

    Language: English - Date: 2014-08-01 15:58:03
    413Biochemistry / Chemical pathology / Blood tests / Ferritin / Transfusion hemosiderosis / Iron overload / Deferasirox / Iron metabolism / Medicine / Chemistry

    Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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    Source URL: ahca.myflorida.com

    Language: English - Date: 2013-04-03 11:25:51
    414Human development / Milk / United States Department of Agriculture / Enfamil / WIC / Infant formula / Breastfeeding / Lactose intolerance / Baby food / Infant feeding / Food and drink / Nutrition

    MAINE WIC NUTRITION PROGRAM MEDICAL DOCUMENTATION FOR WIC MEDICAL FORMULA OR MEDICAL FOOD/MAINECARE PRIOR AUTHORIZATION FORM FOR FORMULA Healthcare Provider: Return Form to: Address:

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    Source URL: www.maine.gov

    Language: English - Date: 2014-02-05 07:43:30
    415Aprepitant / Lactams / Morpholines / Organofluorides / Triazoles / Author citation / Organic chemistry / Chemistry / Antiemetics

    Division: Pharmacy Services Subject: AUTO PA (Automated Prior Authorization) Original Development Date: Original Effective Date:

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    Source URL: ahca.myflorida.com

    Language: English - Date: 2012-06-25 14:39:01
    416Select Medical Corporation

    InterCommunity Health Network CCO 2013 PRIOR AUTHORIZATION LIST INTERCOMMUNITY HEALTH NETWORK CCO Coverage of certain medical services and surgical procedures requires InterCommunity Health Network Coordinated Care Organ

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    Source URL: www.samhealth.org

    Language: English - Date: 2012-12-05 11:49:44
      417Pharmaceuticals policy / Pharmacology / Formulary / Pharmacist / Electronic prescribing / Medical prescription / Health / Pharmacy / Medicine

      PRIOR AUTHORIZATION REQUEST FORM EOC ID: Samaritan and IHN-CCO Non Formulary/Prior Auth Excr r

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      Source URL: www.samhealth.org

      Language: English - Date: 2012-08-21 12:37:10
      418

      Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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      Source URL: ahca.myflorida.com

      - Date: 2012-06-25 14:41:28
        419Amines / Tricyclic antidepressants / Selective serotonin reuptake inhibitors / Serotonin-norepinephrine reuptake inhibitors / Antidepressant / Sertraline / Monoamine oxidase inhibitor / Maprotiline / Desvenlafaxine / Chemistry / Organic chemistry / Organochlorides

        Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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        Source URL: ahca.myflorida.com

        Language: English - Date: 2014-05-06 13:41:32
        420Morphinans / Alcohols / Euphoriants / Phenols / Drug rehabilitation / Buprenorphine / Methadone / Opioid dependence / Duragesic / Chemistry / Organic chemistry / Medicine

        Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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        Source URL: ahca.myflorida.com

        Language: English - Date: 2012-06-25 14:32:40
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