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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191CYTOKINE AND CAM ANTAGONISTS PRIOR AUTHORIZATION FORM (form effective 1/9/2023)Prior authorization
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Cytokine and cam antagonists are molecules that inhibit the action of cytokines and cell adhesion molecules, respectively.
Companies and research institutions involved in the development and testing of cytokine and cam antagonists are required to file relevant information.
To fill out cytokine and cam antagonists, provide detailed information about the molecules, their effects, research data, and any potential side effects.
The purpose of cytokine and cam antagonists is to regulate immune response, inflammation, and cell signaling pathways in various diseases.
Information such as chemical structure, mechanism of action, preclinical and clinical trial data, and any adverse effects must be reported on cytokine and cam antagonists.
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