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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191PULMONARY ARTERIAL HYPERTENSION AGENTS PRIOR AUTHORIZATION FORM Please submit all requested
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The pah agents peap form is a document used to report information about agents and representatives who are involved in the procurement process.
Any individual or entity that acts as an agent or representative in procurement transactions may be required to file the pah agents peap form.
The pah agents peap form typically requires information such as the name of the agent, contact details, a description of the services provided, and any fees or commissions received.
The purpose of the pah agents peap form is to increase transparency in procurement transactions by identifying and disclosing the agents and representatives involved.
Information such as the agent's name, contact details, services provided, and fees or commissions received must be reported on the pah agents peap form.
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