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Pharmacy Prior Authorization MERCY MARICOPA INTEGRATED CARE LXIX/XXI SMI (MEDICAID) RestasisXiidra (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review

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What is mmic smi xiidra pa?

MMIC SMI Xiidra PA is a form used for reporting information related to medication management in a long-term care facility.

Who is required to file mmic smi xiidra pa?

Healthcare providers and facilities responsible for medication management in long-term care facilities are required to file MMIC SMI Xiidra PA.

How to fill out mmic smi xiidra pa?

MMIC SMI Xiidra PA can be filled out electronically or manually, following the instructions provided on the form.

What is the purpose of mmic smi xiidra pa?

The purpose of MMIC SMI Xiidra PA is to ensure accurate reporting of medication management practices in long-term care facilities.

What information must be reported on mmic smi xiidra pa?

Information such as medication administration records, documentation of resident care, and medication error reports must be reported on MMIC SMI Xiidra PA.

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