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VIRGINIA MEDICAID REQUEST FOR SERVICE AUTHORIZATION COMMONWEALTH of VIRGINIA Department of Medical Assistance Services Requests for service authorization (SA) must include patient name, Medicaid ID#,
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Verify the dosage amount prescribed by your healthcare provider.
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What is methadone?
Methadone is a medication used to treat opioid addiction and pain.
Who is required to file methadone?
Medical professionals who prescribe or administer methadone are required to file.
How to fill out methadone?
Methadone forms can be filled out online or submitted via paper forms.
What is the purpose of methadone?
The purpose of methadone is to help individuals reduce or quit their use of opioids.
What information must be reported on methadone?
Information such as dosage, frequency of administration, and patient information must be reported on methadone forms.
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