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PROTOCOL V
Subject: Drug Prior Authorization (PA)
Effective Date: 04/00, Revised Date: 08/05, Revised 04/06, Revised 12/06, Revised 2/08, Revised 4/09, Revised 3/10,
Revised 11/10, Revised 9/12
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How to fill out protocol v:
01
Begin by gathering all the necessary information, such as the date, time, location, and purpose of the protocol.
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Fill in the header section with the relevant details, including the title "Protocol V" and any identification numbers or codes associated with it.
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