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Pharmacy Prior Authorization AETNA BETTER HEALTH VIRGINIA Hyaluronic Acid Derivatives Medicaid This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information sign and date. Fax signed forms to Aetna Better Health Virginia at 1-855-799-2553. 6. Does the knee pain interfere with the patient s daily functioning or activities 8. Is there radiographic evidence of mild to moderate osteoarthritis of the knee e.g. severe joint space narrowing...

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Va hyaluronic acid derivatives are a type of hyaluronic acid that is modified or derived from the original compound.

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Manufacturers, distributors, or importers of hyaluronic acid derivatives are typically required to file va hyaluronic acid derivatives.

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Information that must be reported on va hyaluronic acid derivatives includes details about the manufacturer, distributor, importer, product composition, and intended use.

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