Prior authorization

Results: 1240



#Item
581Anatomy / 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: www.ahca.myflorida.com

Language: English - Date: 2014-10-21 17:16:28
582

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

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Source URL: www.ahca.myflorida.com

- Date: 2012-06-25 14:34:15
    583Biology / Dose / Pharmacology / Radiobiology / Medical physics / Radiation oncology / Medicine / Glycoproteins / Intravenous immunoglobulin

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

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    Source URL: www.ahca.myflorida.com

    Language: English - Date: 2013-03-21 16:47:40
    584Pyridines / Organic chemistry / Addiction / Smoking cessation / Stimulants / Varenicline / Nicotine / Cotinine / Bupropion / Nicotinic agonists / Chemistry / Tobacco

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

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    Source URL: www.ahca.myflorida.com

    Language: English - Date: 2012-10-17 10:49:58
    585Axitinib / Benzamides / Indazoles / Pyridines / Thioethers / Dose / Perindopril / Methadone / Chemistry / Organic chemistry / Alkenes

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

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    Source URL: www.ahca.myflorida.com

    Language: English - Date: 2013-06-05 16:38:32
    586Medicaid / Medicine / Behavior / Human behavior / Psychotherapy / Behavior modification / Residential treatment center

    Alcohol and Drug Abuse Programs Procedure Effective Date: Draft[removed]Residential Treatment Prior Authorization Procedure for All State/Medicaid Funded Patients

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    Source URL: healthvermont.gov

    Language: English - Date: 2014-03-03 11:57:29
    587

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

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    Source URL: www.ahca.myflorida.com

    - Date: 2013-03-27 11:08:00
      588Pharmacology / Technology / Clinical pharmacology / Medical prescription / Patient safety / Gonadotropin-releasing hormone / Leuprorelin / Precocious puberty / Histrelin / GnRH agonists / Medicine / Health

      Print Form Reset Form FLORIDA MEDICAID Prior Authorization

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      Source URL: www.ahca.myflorida.com

      Language: English - Date: 2014-07-24 10:32:35
      589Federal assistance in the United States / Presidency of Lyndon B. Johnson / Michigan Department of Community Health / Medicaid / Healthcare Common Procedure Coding System / Nursing home / Medicine / Health / Healthcare

      Michigan Department of Community Health Special Services Prior Approval - Request/Authorization Completion Instructions The MSA-1653-B must be used by Medicaid enrolled DME, Medical Suppliers, Orthotists, Prosthetists,

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      Source URL: www.michigan.gov

      Language: English - Date: 2012-12-07 14:25:51
      590Pharmacology / Ribavirin / Triazoles / Syringe / Interferon / Pharmacy / Biology / Hepatitis C and HIV co-infection / Antivirals / Medicine / Medical equipment

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

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      Source URL: www.ahca.myflorida.com

      Language: English - Date: 2012-06-25 14:45:48
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