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Amines / Tricyclic antidepressants / Selective serotonin reuptake inhibitors / Serotonin-norepinephrine reuptake inhibitors / Antidepressant / Sertraline / Monoamine oxidase inhibitor / Maprotiline / Desvenlafaxine / Chemistry / Organic chemistry / Organochlorides
Date: 2014-05-06 13:41:32
Amines
Tricyclic antidepressants
Selective serotonin reuptake inhibitors
Serotonin-norepinephrine reuptake inhibitors
Antidepressant
Sertraline
Monoamine oxidase inhibitor
Maprotiline
Desvenlafaxine
Chemistry
Organic chemistry
Organochlorides

Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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