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AmeriHealth Capital Iowa Request for Prior Authorization Alpha2 Agonists, ExtendedRelease Form applies to IA Health Link and Hawks plans. Please print accuracy is important. Fax completed form to
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Alpha2 agonists extended-release are medications that act on the alpha2 receptors in the brain to help regulate the release of certain neurotransmitters.
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Healthcare providers and pharmacies may be required to file alpha2 agonists extended-release prescriptions with the appropriate regulatory authorities.
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