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Pain / Sumatriptan / Treximet / Medical prescription / Almotriptan / Migraine / Methadone / Naproxen / Chemistry / Triptans / Organic chemistry


Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:
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Document Date: 2014-08-11 12:05:05

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File Size: 258,20 KB

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Company

Resubmissions / Refer / /

Facility

Pharmacy Services Subject / /

IndustryTerm

age / /

MedicalCondition

migraines / headache / /

Position

neurologist / /

Product

Relpax / maxalt / naproxen / Zomig / Amerge / ibuprofen / topiramate / Frova / sumatriptan / Imitrex / Axert / /

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