31![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/d2cbd7a1b3caf851c65a44a1d7bb9b79.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2012-06-07 09:55:07
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32![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/75c05ed44dd5a2f986159dea70893da2.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2014-09-10 09:48:24
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33![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA THERAPEUTIC PREFERRED AGENTS](https://www.pdfsearch.io/img/f6c458b5dc772765135d85a38c58f04b.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2010-12-03 12:25:58
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34![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/5368e4060581443f29a901162d60fdc2.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2011-03-04 15:52:11
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35![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/7e935c0007768c4547d17369938a2bde.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2012-09-26 09:31:08
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36![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/5f3323f83d7183ff8304f9a7a68c6dda.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2012-12-10 10:30:37
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37![Department of Vermont Health Access Pharmacy Benefit Management Program VERMONT PREFERRED DRUG LIST and Department of Vermont Health Access Pharmacy Benefit Management Program VERMONT PREFERRED DRUG LIST and](https://www.pdfsearch.io/img/58e5f02704370285cf5d7c07d2c9a23f.jpg) | Add to Reading ListSource URL: dvha.vermont.govLanguage: English - Date: 2014-10-27 09:27:45
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38![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/bf0df474310bf08ff8138823a54667ec.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2011-10-03 14:13:59
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39![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/5c0bb7454df2b8fefb0a2e364c78fb9d.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2012-06-27 09:53:24
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40![BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p BUREAU FOR MEDICAL SERVICES WEST VIRGINIA MEDICAID PREFERRED DRUG LIST WITH PRIOR AUTHORIZATION CRITERIA This is not an all-inclusive list of available covered drugs and includes only managed categories. Refer to cover p](https://www.pdfsearch.io/img/54d77f0841ba66e1790113dccbe92135.jpg) | Add to Reading ListSource URL: www.dhhr.wv.govLanguage: English - Date: 2013-12-16 08:52:17
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