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06/22/2015 Prior Authorization MERCY MARICOPA INTEGRATED CARE - TXIX/XXI SMI MEDICAID Injectable Antipsychotics AZ88 This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information sign and date. Fax signed forms to Mercy Maricopa Integrated Care - TXIX/XXI SMI at 1-855-247-3677. Drug Name select from list of drugs shown Maintena ER Inj Susp ER Inj Susp Sustenna palmitate Inj palmitate Inj Quantity Frequency Route of Administration Expected...
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What is when conditions are met?
When conditions are met refers to specific criteria or requirements that need to be satisfied before taking a certain action or making a decision.
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The information required to be reported on when conditions are met may vary depending on the specific conditions or requirements that need to be satisfied.
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