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Updated: 04/2019 EMMA Approved: 05/2019 Request for Prior Authorization for (recombinant alpha) Website Form www.highmarkhealthoptions.com Submit request via: Fax 18554764158All requests for (recombinant
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Updated 04 DMMA approved refers to the latest version of the Direct Material Master Agreement that has been approved.
The parties involved in the agreement are required to file the updated 04 DMMA approved.
To fill out updated 04 DMMA approved, all relevant fields must be completed accurately and all parties involved must sign the agreement.
The purpose of updated 04 DMMA approved is to establish terms and conditions for the purchase of direct materials between parties.
The updated 04 DMMA approved must include details on the direct materials being purchased, pricing, payment terms, delivery schedules, and any dispute resolution mechanisms.
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