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Corrective lenses / Vision / Optometry / Aniseikonia / Keratoconus / Anisometropia / Lens / Rigid gas permeable / Camera lens / Ophthalmology / Contact lenses / Optics
Date: 2013-10-10 11:07:21
Corrective lenses
Vision
Optometry
Aniseikonia
Keratoconus
Anisometropia
Lens
Rigid gas permeable
Camera lens
Ophthalmology
Contact lenses
Optics

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

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Source URL: www.michigan.gov

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