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05/18/2016 Prior Authorization MERCY MARICOPA INTEGRATED CARE - TXIX/XXI SMI MEDICAID AZ88 This fax machine is located in a secure location as required by HIPAA regulations. Myelodysplastic syndrome MDS If no then no further questions. 8. Is the patient positive for the del 5q cytogenetic abnormality greater than 500 mU/mL AND any of the following characteristics A Older than 60 years old B More than 5 marrow blasts C Presence of non-hypocellular marrow D HLA-DR15 negative or E PNH clone...

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