Prior authorization

Results: 1240



#Item
451Organic chemistry / Mood stabilizers / Pharmacology / Epilepsy / Ketones / Oxcarbazepine / Eslicarbazepine acetate / Carbamazepine / Breakthrough seizure / Chemistry / Anticonvulsants / Dibenzazepines

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: 2014-08-20 10:06:08
452Medical classification / Technology / Healthcare Common Procedure Coding System / Fax / International Statistical Classification of Diseases and Related Health Problems / Medicine / Health / Medical informatics

Texas Standardized Prior Authorization Request Form For Health Care Services Section I — Submission Issuer Name Phone ( ) Fax

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Source URL: www.tdi.texas.gov

Language: English - Date: 2014-09-20 15:28:08
453Anatomy / Adalimumab / Etanercept / Rheumatoid arthritis / Tocilizumab / Anakinra / Immunosuppressants / Pharmacology / 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: 2014-10-21 17:16:28
454Laxatives / General practice / Abdominal pain / Constipation / Lubiprostone / Functional constipation / Irritable bowel syndrome / Lactulose / Digestive disease / Medicine / Health / Gastroenterology

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: 2013-05-15 15:45:00
455Allergology / Organochlorides / Nose / Antihistamines / Azelastine / Rhinitis / Nasal spray / Allergic rhinitis / Olopatadine / Medicine / Chemistry / Health

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: 2012-09-25 12:12:06
456

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 13:41:02
    457Carboxylic acids / Dosage forms / Amines / Baclofen / Organochlorides / Intrathecal / Spasticity / Cerebral palsy / Dose / Medicine / Chemistry / Health

    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: 2013-05-06 15:26:35
    458Medicine / Lactams / Organochlorides / Toxicology / Amines / Diazepam / Dose / Methadone / Benzodiazepine / Chemistry / Pharmacology / Organic 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: 2012-10-18 16:50:17
    459

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

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    Source URL: ahca.myflorida.com

    - Date: 2013-06-05 16:37:08
      460Osteoporosis / Bisphosphonates / Traumatology / Dual-energy X-ray absorptiometry / Ibandronic acid / Bone fracture / Bolus / Hip fracture / Denosumab / Medicine / Health / Osteopathies

      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 14:31:43
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