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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F00081 (01/2018)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR OPIOID
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Dependency agents instructions f-00081a is a form that provides instructions for dependency agents on how to report information.
Dependency agents are required to file dependency agents instructions f-00081a.
To fill out dependency agents instructions f-00081a, the agent must follow the instructions provided on the form.
The purpose of dependency agents instructions f-00081a is to ensure accurate reporting of information by dependency agents.
Dependency agents must report relevant information about their dependencies on dependency agents instructions f-00081a.
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