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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191MAKENA (medroxyprogesterone Capote) PRIOR AUTHORIZATION FORM Prior authorization guidelines
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To fill out the PEAP form 04-24-18, follow these steps:
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Begin by entering your personal details, such as your name, address, and contact information, in the designated fields.
03
Provide information about the specific project or activity for which you are requesting funding. Include details such as project objectives, timeline, and expected outcomes.
04
Specify the amount of funding you are requesting and provide a detailed budget that outlines how the funds will be utilized.
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If applicable, include any supporting documents, such as project proposals or financial statements, to strengthen your application.
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Carefully review the completed form to ensure all information is accurate and complete.
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Sign and date the form to confirm your understanding and agreement to the terms and conditions.
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Submit the filled-out PEAP form 04-24-18 to the appropriate authority or organization as per their instructions.

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The PEAP form 04-24-18 is typically required by individuals or organizations who are seeking funding for a specific project or activity. This includes researchers, non-profit organizations, educational institutions, and individuals undertaking community development projects.
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PEAP form 04-24-18 is a form used for reporting financial information related to a specific program.
Organizations enrolled in the program are required to file PEAP form 04-24-18.
PEAP form 04-24-18 should be filled out with accurate financial information related to the program.
The purpose of PEAP form 04-24-18 is to track and report financial data for the specific program.
Information such as income, expenses, and funding sources related to the program must be reported on PEAP form 04-24-18.
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