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Prior authorization
Results: 1240

#	Item
801	Microsoft Word - Prior Authorization Request Form for Rebetol.doc Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 14:10:30 Interferon Peginterferon alfa-2a Medicine Biology Antivirals Pharmacology Ribavirin
802	Microsoft Word - Prior Authorization Request Form for Aranesp.doc Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 14:07:36 Anemias Erythropoiesis-stimulating agents Growth factors Hematopathology Hemoglobin Darbepoetin alfa Hematocrit Medicine Hematology Biology
803	COX.16 Form # 10310 R 2.11 State of Maine Department of Health & Human Services MaineCare/MEDEL Prior Authorization Form Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-03-19 13:22:49 Pharmacology COX-2 inhibitor Celecoxib Sulindac Naproxen Ibuprofen Mefenamic acid PTGS2 Indometacin Non-steroidal anti-inflammatory drugs Chemistry Organic chemistry
804	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 14:39:59
805	Microsoft Word - Prior Authorization Request Form for Elidel.doc Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 14:04:12 Organic chemistry Propionates Glucocorticoids Organochlorides Topical steroid Acetonide Clobetasol propionate Prednicarbate Betamethasone Chemistry Organofluorides Corticosteroids
806	PPI.9 Form # 20720 R:12.13 State of Maine Department of Health & Human Services MaineCare/MEDEL Prior Authorization Form Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2014-01-16 11:59:14 Organic chemistry Benzimidazoles Pyridines Sulfoxides Gastroenterology Omeprazole Lansoprazole Helicobacter pylori Esomeprazole Proton pump inhibitors Medicine Chemistry
807	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 14:36:55
808	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 14:42:06
809	Radiology Codes Requiring Prior Authorization Effective January 1, 2010 Code[removed]70543 Add to Reading List Source URL: www.chfs.ky.gov Language: English - Date: 2014-10-24 03:09:54 Neuroimaging Radiobiology Radiation oncology Magnetic resonance imaging Perfusion scanning Single-photon emission computed tomography Tomography Positron emission tomography Cardiac magnetic resonance imaging Medicine Medical physics Medical imaging
810	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 14:43:19 Osteoporosis Medical terms Drugs Bone density Dual-energy X-ray absorptiometry Osteopenia Denosumab Teriparatide Menopause Medicine Aging-associated diseases Osteopathies

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