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Print Form Reset Form FLORIDA MEDICAID Prior Authorization Pharmacy Miscellaneous Maximum length of approval 12 months or less Note: Form must be completed in full. An incomplete form may be returned.
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The maximum length of approval is typically 180 days.
Any individual or entity seeking approval for a specific project or action may be required to file for maximum length of approval.
To fill out a maximum length of approval form, you will need to provide detailed information about the project or action, its purpose, timeline, and any potential impacts.
The purpose of maximum length of approval is to ensure that proposed projects or actions comply with regulations and do not cause harm to the environment or community.
Information such as project details, potential impacts, proposed timeline, and any mitigation measures must be reported on maximum length of approval.
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Relevant keywords

FLORIDA Prescriber Prescribers ahca myflorida thera pharm ARNP Contraindication YYYY Discontinuing Dosing summaries Recipients Miscellaneous Magellan FL Tallahassee evaluations MEDICAID specify interaction documentation Therapeutic diagnostic provider med

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