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Get the free FAX Completed Form To 1 800 574-2515 Request for Prior

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Iowa Department of Human Services FAX Completed Form To 1 (800) 574-2515 Request for Prior Authorization CNS STIMULANTS AND Provider Help Desk 1 (877) 776-1567 (PLEASE PRINT ACCURACY IS IMPORTANT)
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Fax completed form to the designated fax number provided.
All individuals or entities specified in the form instructions.
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The purpose is to submit the required information to the appropriate recipient.
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