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Pharmacy Notices to Providers

2009

October 15, 2009
2009 Billing Instructions for Novel Influenza A (H1N1) Vaccine (PDF)

September 28, 2009
Synagis® Medical Policy Revised for Passport Health Plan (PDF)

July 16, 2009
New Medication Prior Authorization Forms (PDF)

July 08, 2009
New Prior Authorization Request Form for Suboxone® (PDF)

Attachment: New Suboxone® Prior Authorization Form (PDF)

June 15, 2009
Changes Made to the Preferred Status of the Serotonin 5-HT1 Receptor Agonists (Triptans) (PDF)

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