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Prior authorization
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#	Item
481	Division: Pharmacy Services Subject: AUTO PA (Automated Prior Authorization) Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2012-09-10 11:55:22 AIDS HIV Antiretroviral drug Medicaid Zidovudine AIDS/LifeCycle HIV/AIDS Health Medicine
482	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2013-10-07 15:09:40 Sumatriptan Treximet Migraine Tablet computer Triptans GlaxoSmithKline Indoles
483	TEXAS STANDARDIZED PRIOR AUTHORIZATION REQUEST FORM FOR HEALTH CARE SERVICES Please read all instructions before completing the form. Do not send the completed form to the Texas Department of Insurance, the Texas Health Add to Reading List Source URL: www.tdi.texas.gov Language: English - Date: 2014-09-20 15:27:37 Health insurance Health care Managed care Health Medicine Medical record
484	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2012-10-17 10:49:58 Pyridines Organic chemistry Addiction Smoking cessation Stimulants Varenicline Nicotine Cotinine Bupropion Nicotinic agonists Chemistry Tobacco
485	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2012-06-25 13:42:39 Growth factors Renal dialysis Hemoglobins Anemias Erythropoietin Epoetin alfa Darbepoetin alfa Thalassemia Chemotherapy Medicine Hematology Erythropoiesis-stimulating agents
486	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2012-06-25 14:33:13 Chemistry Pharmacology Dibenzazepines Prodrugs Carbamazepine Epilepsy Bipolar disorder Lamotrigine Primidone Anticonvulsants Medicine Mood stabilizers
487	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2013-03-21 16:47:40 Biology Dose Pharmacology Radiobiology Medical physics Radiation oncology Medicine Glycoproteins Intravenous immunoglobulin
488	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com - Date: 2012-10-08 11:23:32
489	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2012-10-08 11:24:29 Ketones Imidazoles GlaxoSmithKline Alcohols 5-HT3 antagonist Ondansetron Apomorphine Buprenorphine Chemistry Organic chemistry Antiemetics
490	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Language: English - Date: 2012-06-25 14:39:28 Phenols Alcohols Ketones Ethers Morphine Magnesium in biology MG Cars Naltrexone Hydromorphone Chemistry Organic chemistry Morphinans

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