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11/11/2015 Prior Authorization AETNA BETTER HEALTH OF ILLINOIS MEDICAID Platelet Inhibitors (IL88) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review
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Open the drug name select form.
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Type or select the appropriate drug name from the available options.
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If the desired drug name is not listed, check if there is an 'Other' or 'Not Listed' option and select it.
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Patients who are prescribed medication and need to provide the specific drug name to healthcare professionals.
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What is drug name select from?
Drug name select from is the name of the drug chosen by the manufacturer.
Who is required to file drug name select from?
The manufacturer of the drug is required to file drug name select from.
How to fill out drug name select from?
Drug name select from can be filled out by providing the selected name of the drug in the designated form.
What is the purpose of drug name select from?
The purpose of drug name select from is to assign a unique name to the drug for identification and regulatory purposes.
What information must be reported on drug name select from?
The selected name of the drug must be reported on drug name select from.
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