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Prior authorization
Results: 1240

#	Item
821	Reset Form Print Form Florida Medicaid Prior Authorization Add to Reading List Source URL: www.fdhc.state.fl.us Language: English - Date: 2014-04-04 16:11:06 Emotion Antidepressant Major depressive disorder Panic disorder Anxiety disorder Serotonin–norepinephrine–dopamine reuptake inhibitor Medical prescription Obsessive–compulsive disorder Borderline personality disorder Psychiatry Abnormal psychology Clinical psychology
822	Prior Authorization Request Form for Anti-Nausea products-Emend/Kytril/Zofran Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 14:37:56 Organic chemistry Chemotherapy-induced nausea and vomiting 5-HT3 antagonist Nausea Granisetron Ondansetron Aprepitant Antiemetics Medicine Chemistry
823	SYR.8 Form # 30140 R: 09.08 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 13:48:19 Eli Lilly and Company Medical equipment Drug paraphernalia Syringe Medical record Insulin Medicine Biology Endocrine system
824	DRUG.INTERACT.4 Form # 10400 R:08.11 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 13:27:39
825	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: 2013-12-30 12:41:58 Medicine Non-nucleoside reverse transcriptase inhibitors Cyclopropanes Organofluorides Bristol-Myers Squibb Antiretroviral drug Viral load HIV AIDS Chemistry Organic chemistry HIV/AIDS
826	ONDAN.2 Form # 20610 R:09.08 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 13:39:06 Neurochemistry Ondansetron 5-HT3 antagonist Metoclopramide Hyperemesis gravidarum Methylprednisolone Nausea Diphenhydramine Promethazine Antiemetics Medicine Chemistry
827	Michigan Department of Community Health Complex Seating and Mobility Device Prior Approval - Request/Authorization Completion Instructions Add to Reading List Source URL: www.michigan.gov Language: English - Date: 2013-03-29 10:26:40 Presidency of Lyndon B. Johnson Medicine Healthcare Common Procedure Coding System Medicaid Medical prescription Health Federal assistance in the United States Healthcare reform in the United States
828	Microsoft Word - Prior Authorization Request Form for Roferon.doc Add to Reading List Source URL: mainecarepdl.org Language: English - Date: 2012-04-02 14:35:00 Interferon Hairy cell leukemia Biology Leukemia Viral load Virus Medicine Health Antivirals HIV/AIDS Cytokines
829	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: 2013-10-07 15:09:40 Sumatriptan Treximet Migraine Tablet computer Triptans GlaxoSmithKline Indoles
830	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: 2014-08-11 09:14:02 Anakinra Cryopyrin-associated periodic syndrome Etanercept Adalimumab Tocilizumab Immunosuppressants Pharmacology Medicine

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