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Pharmacy Prior Authorization AETNA BETTER HEALTH MARYLAND Acid (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and date.

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1. The abh-mdzoledronicacidpaform accessible pdf is needed by individuals who require or are prescribed the use of the medication called Zoledronic Acid. This form is particularly used for Prior Authorization purposes, where the patient needs to submit the form to their healthcare provider or insurance company to request coverage for the medication.
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