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Pharmacy Prior Authorization MERCY MARICOPA INTEGRATED CARE TXIX/XXI SMI MEDICAID Opioids Short-Acting Post Limit Medicaid This fax machine is located in a secure location as required by HIPAA regulations. Please note that all authorization requests will be reviewed as the AB rated generic when available unless states otherwise. When conditions are met we will authorize the coverage of Opioids Short-Acting Post Limit Medicaid. Complete/review information sign and date. Fax signed forms to...
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