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Pharmacy Prior Authorization AETNA BETTER HEALTH NEVADA Medicaid This fax machine is located in a secure location as required by HIPAA regulations. Is being prescribed by or in consultation with a neurologist Comments I affirm that the information given on this form is true and accurate as of this date. 5 and 6. 5 Please provide result creatinine clearance less than 50 mL/minute multiple sclerosis i.e. no recent MS exacerbations 10. 3. Does the patient have a documented diagnosis of multiple...
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When conditions are met refers to the specific requirements or criteria being satisfied before a certain action can be taken or a decision can be made.
The individual or entity who is responsible for ensuring that the conditions are met is required to file when conditions are met.
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The purpose of when conditions are met is to ensure that all necessary criteria have been met before proceeding with a certain task or decision.
The information that must be reported on when conditions are met includes details of how the conditions were met, supporting documentation, and any relevant data or evidence.
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