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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191 ANTIHYPERTENSIVES, SYMPATHOLYTICS PRIOR AUTHORIZATION FORM Please submit all requested documentation
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Begin by obtaining a copy of the commonwealth of Pennsylvania form. This can typically be found on the official website of the Pennsylvania government or requested from the appropriate department.
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The Commonwealth of Pennsylvania is a state in the United States.
Individuals and businesses who earn income in Pennsylvania are required to file.
The Pennsylvania Department of Revenue provides forms and instructions on their website for filling out the Commonwealth of Pennsylvania.
The purpose of the Commonwealth of Pennsylvania is to report income earned in the state for tax purposes.
Income, deductions, credits, and other relevant tax information must be reported on the Commonwealth of Pennsylvania.
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