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Pharmacy Prior Authorization AETNA BETTER HEALTH FLORIDA Rosario (Medicaid) This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and
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Individuals who are prescribed Trogarzo (ibalizumab-uiyk) medication and need to apply for prior authorization may require the abh-fl-trogarzo-pa-form accessible pdf. This form is intended to be filled out by patients or their healthcare providers to provide necessary information for the prior authorization process.
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