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Criteria: P0075 Approved: 11/2014 Reviewed:3/19/18PriorAuthorization Criteria Form This form applies to Paramount Advantage and Paramount Commercial Members OnlyGleevec Complete/review information,
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Approved 11213 prior refers to a form used to get prior approval for certain actions or expenditures.
Certain individuals or entities may be required to file approved 11213 prior, depending on the specific circumstances.
To fill out approved 11213 prior, one must provide relevant information requested on the form and follow any instructions provided.
The purpose of approved 11213 prior is to ensure that certain actions or expenditures receive prior approval before they are undertaken.
Information such as the nature of the action or expenditure, the reasons for seeking prior approval, and any relevant supporting documentation may need to be reported on approved 11213 prior.
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