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PRIOR AUTHORIZATION REQUEST FORM BM CHP 9.107 Opioids 11 Prefix Version 19.0 Effective Date 1/1/17 Phone: 8885660008 Fax back to: 8663055739 ENVISION RX OPTIONS manages the pharmacy drug benefit for
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What is effective date 1117?
The effective date 1117 refers to the date on which a particular regulation or policy is set to take effect.
Who is required to file effective date 1117?
Entities or individuals who are subject to the regulation or policy with the effective date 1117 are required to file accordingly.
How to fill out effective date 1117?
Effective date 1117 should be filled out with accurate and relevant information as per the requirements of the regulation or policy.
What is the purpose of effective date 1117?
The purpose of effective date 1117 is to ensure compliance with the specific regulation or policy that is being implemented.
What information must be reported on effective date 1117?
The specific information required to be reported on effective date 1117 will depend on the nature of the regulation or policy in question.
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