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Prior authorization
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#	Item
611	PRIOR AUTHORIZATION REQUEST FORM INSTRUCTIONS: Prepare this form and related documents, scan and attach to a SMART Purchase Requisition as a LINE ITEM comment. Prior Authorization is requested in the Amount of: $ Add to Reading List Source URL: www.aging.ks.gov Language: English - Date: 2012-12-13 14:24:21 Contract law Purchase requisition Computing SQL Data management Business Procurement Contract
612	Seattle JazzED[removed]Release of liability, indemnity, media, hold harmless and medical authorization This form must be completed and signed prior to participation in any of our ensembles. Name of Participant Name of Add to Reading List Source URL: www.seattlejazzed.org Language: English - Date: 2014-08-12 19:47:45 Financial economics Business Insurance Indemnity Law of agency Law Financial institutions Institutional investors
613	Please refer to Pharmacy and Durable Medical Equipment Manuals for current prior authorization requirements. SERVICE AUTHORIZATION REQUEST NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES MEDICAL SERVICES Add to Reading List Source URL: www.nd.gov Language: English - Date: 2014-09-04 16:01:48 Medical diagnosis Nosology Medical necessity Medical prescription Health care Health Insurance Portability and Accountability Act Health insurance Medicine Health Medical terms
614	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.ahca.myflorida.com Language: English - Date: 2012-06-25 14:35:22 Cofactors Medicine Sports Pernicious anemia Summer Olympic Games Cyanocobalamin Melbourne Cricket Ground Anemia Hydroxocobalamin Vitamin B12 B vitamins Hematopathology
615	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.ahca.myflorida.com Language: English - Date: 2014-05-06 13:41:32 Amines Tricyclic antidepressants Selective serotonin reuptake inhibitors Serotonin-norepinephrine reuptake inhibitors Antidepressant Sertraline Monoamine oxidase inhibitor Maprotiline Desvenlafaxine Chemistry Organic chemistry Organochlorides
616	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.ahca.myflorida.com - Date: 2012-06-25 14:18:32
617	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.ahca.myflorida.com - Date: 2012-06-25 14:38:27
618	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.ahca.myflorida.com - Date: 2012-06-25 14:42:30
619	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.ahca.myflorida.com - Date: 2012-06-25 13:41:02
620	MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES I. Requirements for Prior Authorization of Acne Agents, Oral A. Add to Reading List Source URL: www.dpw.state.pa.us Language: English - Date: 2014-08-05 14:35:00 Pharmaceutical sciences Clinical pharmacology Medical prescription Patient safety Health Acne vulgaris Medical necessity Anti-acne preparations Medicine Pharmacology Acneiform eruptions

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