Prior authorization

Results: 1240



#Item
791Peptide hormones / Reproductive system / Chemical pathology / Glycoproteins / Human chorionic gonadotropin / Hypogonadism / USP / Cryptorchidism / Biochemistry / Biology / Medicine

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

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Source URL: www.fdhc.state.fl.us

Language: English - Date: 2012-12-17 15:37:32
792Biology / Eli Lilly and Company / Peptide hormones / Saizen / Growth hormone treatment / Growth hormone deficiency / Growth hormone / Humatrope / Insulin-like growth factor 1 / Growth hormones / Medicine / Endocrine system

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

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Source URL: www.fdhc.state.fl.us

Language: English - Date: 2013-08-21 11:12:29
793Sumatriptan / Treximet / Migraine / Tablet computer / Triptans / GlaxoSmithKline / Indoles

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

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Source URL: www.fdhc.state.fl.us

Language: English - Date: 2013-10-07 15:08:55
794

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

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Source URL: www.fdhc.state.fl.us

- Date: 2013-06-05 16:37:08
    795Biochemistry / Chemical pathology / Blood tests / Ferritin / Transfusion hemosiderosis / Iron overload / Deferasirox / Iron metabolism / Medicine / Chemistry

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

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    Source URL: www.fdhc.state.fl.us

    Language: English - Date: 2013-04-03 11:25:51
    796

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

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    Source URL: www.fdhc.state.fl.us

    - Date: 2012-06-25 14:33:25
      797Biology / 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.fdhc.state.fl.us

      Language: English - Date: 2013-03-21 16:47:40
      798Endocrine system / Growth hormones / Neuroendocrinology / Pediatrics / Growth hormone treatment / Growth hormone deficiency / Pituitary disease / Hypogonadism / Growth hormone / Anatomy / Health / Endocrinology

      Prior Authorization Request Form for Growth Hormones (somatropins)

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      Source URL: mainecarepdl.org

      Language: English - Date: 2012-04-02 14:07:07
      799Health / Neurology / Medicine / Anatomy / Diagnostic criteria for MS / McDonald criteria / Magnetic resonance imaging / Multiple sclerosis / Autoimmune diseases / Neurological disorders

      MS.8 Form #[removed]R:12.13 State of Maine Department of Health & Human Services MaineCare/MEDEL Prior Authorization Form

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      Source URL: mainecarepdl.org

      Language: English - Date: 2014-04-21 09:30:55
      800Pharmaceutical sciences / Pharmaceutical drug / Medical prescription / Electronic prescribing / Medicine / Pharmacology / Health

      Prior Authorization Request Form

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      Source URL: www.nhhealthyfamilies.com

      Language: English - Date: 2013-12-03 15:24:31
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