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Prior authorization
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#	Item
661	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.fdhc.state.fl.us 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
662	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 14:36:55
663	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.fdhc.state.fl.us Language: English - Date: 2014-03-05 14:03:05 Pyrimidines Oncology Organofluorides Orphan drugs Myeloid leukemia Ponatinib Chronic myelogenous leukemia Philadelphia chromosome Dasatinib Organic chemistry Chemistry Piperazines
664	Michigan Department of Community Health COMPLEX CARE PRIOR APPROVAL – REQUEST/AUTHORIZATION FOR NURSING FACILITIES PRIOR AUTHORIZATION NUMBER Add to Reading List Source URL: www.michigan.gov Language: English - Date: 2012-12-07 20:58:15 Social Security Health Care Card Medicaid Australia Oceania Politics Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
665	Client Contract Number – Client Name – MA-PD/PDP Prior Authorization Criteria and Guidelines Acne 5 Retinoids, topical (tretinoins) 5-6 Avita Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 13:55:57 Nootropics Stimulants Organofluorides Medical terms Attention-deficit hyperactivity disorder Attention deficit hyperactivity disorder Anemia Ranolazine Multiple myeloma Medicine Chemistry Organic chemistry
666	Documentation of Medical Necessity for the Provision of Contact Lenses (This form is to be completed and attached to DCH-0893 when requesting prior authorization for the provision of contact lenses. Prior authorization Add to Reading List Source URL: www.michigan.gov Language: English - Date: 2013-10-10 11:07:21 Corrective lenses Vision Optometry Aniseikonia Keratoconus Anisometropia Lens Rigid gas permeable Camera lens Ophthalmology Contact lenses Optics
667	MaineCare Prior Authorization (PA) Request Submission Process Answers to Frequently Asked Questions 1. What is the Preferred Drug List (PDL)? The Preferred Drug List (PDL) is a list of medications that physicians can pre Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2014-01-24 11:17:06 Pharmacy Medicine Medical prescription Health Pharmaceutical sciences Pharmacology Medicinal chemistry
668	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.fdhc.state.fl.us - Date: 2013-10-08 13:22:21
669	Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: www.fdhc.state.fl.us - Date: 2012-06-25 14:36:09
670	Plan Year 2014 CCHP Senior Select Program (HMO SNP) Prior Authorization (PA) Criteria Prior Authorization: CCHP Senior Select Program (HMO SNP) requires you (or your physician) to get prior authorization for certain drug Add to Reading List Source URL: www.cchphmo.com Language: English - Date: 2013-10-14 18:28:58 Pharmaceuticals policy Clinical pharmacology Pharmacy Health maintenance organization Managed care Medical prescription Medicare Part D Aripiprazole Formulary Pharmaceutical sciences Pharmacology Health

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