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Prior Authorization Criteria FormCRITERIA: PDL APPROVED: 10/3/2019 VERIFIED: 12/5/2019 REVIEWED:This form applies to Paramount Advantage Members OnlyTOPICAL ACNE PREPARATIONS PREFERRED Complete/review

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What is criteria updl?

Criteria UPDL stands for User Provided Data List, which is a list provided by users with specific information.

Who is required to file criteria updl?

Users who have relevant data to share and provide to others are required to file criteria UPDL.

How to fill out criteria updl?

Criteria UPDL can be filled out by inputting the required information in the designated fields on the form.

What is the purpose of criteria updl?

The purpose of criteria UPDL is to facilitate the sharing of user-provided data among users.

What information must be reported on criteria updl?

Users must report specific data that is relevant and useful for other users.

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