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DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Health Care Access and Accountability Wis. Admin. Code DHS 107.10(2) F00081 (07/2016)FORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG
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Opioid dependency agents are medications used to treat opioid addiction and withdrawal symptoms.
Healthcare providers authorized to prescribe opioid dependency agents are required to file.
To fill out for opioid dependency agents, healthcare providers must provide details of the patient, the prescribed medication, dosage, and duration of treatment.
The purpose of for opioid dependency agents is to monitor and regulate the use of medications for treating opioid dependency to ensure patient safety and prevent misuse.
Information such as patient details, prescribed medication, dosage, and duration of treatment must be reported on for opioid dependency agents.
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