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Prior authorization
Results: 1240

#	Item
771	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: 2012-10-18 16:50:17 Medicine Lactams Organochlorides Toxicology Amines Diazepam Dose Methadone Benzodiazepine Chemistry Pharmacology Organic chemistry
772	Prior Authorization Request Form for Antifungals- Diflucan/Lamisil/Sporanox Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 14:03:50 Postal system Fax Pemphigus Technology Address Human geography
773	SUB.C.1 Form # [removed]R:04.14 State of Maine Department of Health & Human Services MaineCare/MEDEL Prior Authorization Form Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2014-04-21 09:19:01 Alcohols Morphinans Buprenorphine Ethers Phenols Methadone Medical record Chemistry Drug rehabilitation Organic chemistry
774	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 14:32:54 Organochlorides Medicine Anticonvulsants Mood stabilizers Chemistry Carglumic acid Pharmacology Alcohols
775	ANTIPSYC.4 Form # 10130 R:03.14 State of Maine Department of Health & Human Services MaineCare/MEDEL Prior Authorization Form Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2014-06-02 08:58:00 Piperazines Lactams Organochlorides Antipsychotic Aripiprazole Paliperidone Clozapine Antidepressant Olanzapine Atypical antipsychotics Chemistry Organic chemistry
776	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 14:02:45
777	Print Form Reset Form FLORIDA MEDICAID Prior Authorization Add to Reading List Source URL: www.fdhc.state.fl.us Language: English - Date: 2014-07-24 10:32:35 Pharmacology Technology Clinical pharmacology Medical prescription Patient safety Gonadotropin-releasing hormone Leuprorelin Precocious puberty Histrelin GnRH agonists Medicine Health
778	Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL NARBHA Edition Section 3.14 Securing Services and Prior Authorization Add to Reading List Source URL: www.narbha.org Language: English - Date: 2014-02-05 15:11:11 Nursing Medical ethics Mental health Neuroscience Psychiatry Patient Mental disorder Medicine Health Medical terms
779	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: 2013-03-27 11:08:00
780	PRADAXA.1 Form # 20725 C:7.12 State of Maine Department of Health &Human Services MaineCare/MEDEL Prior Authorization Form Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-08-06 14:39:11 CHADS2 score Stroke Cardiac dysrhythmia Hematology Atrial fibrillation Dabigatran Anticoagulant Embolism Artificial heart valve Chemistry Medicine Organic chemistry

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