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Pharmacy Prior Authorization MERCY MARICOPA INTEGRATED CARE TXIX/XXI SMI MEDICAID Medicaid This fax machine is located in a secure location as required by HIPAA regulations. 2. Does the patient have adequate iron stores to support erythropoiesis as evidenced by one of the following A Serum ferritin greater than or equal to100 ng/ml and transferrin saturation iron saturation greater than or equal to 20 or B Normal serum iron TIBC and serum ferritin or C Reticulocyte hemoglobin content CHr...
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What is has this plan authorized?
This plan authorizes certain activities to be carried out.
Who is required to file has this plan authorized?
Entities or individuals involved in the activities outlined in the plan are required to file.
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The purpose of this plan is to ensure that the authorized activities are conducted in a responsible and compliant manner.
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Information such as the scope of activities, timelines, resources, and responsible parties must be reported.
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