Form 1348, Texas Medicaid Phosphate Binders Prior Authorization Request

Disability Prevention for Children, Office of (ODPC)

This government document is issued by Disability Prevention for Children, Office of (ODPC) for use in Texas

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File Details: PDF (115 KB)
Source
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1348-texas-medicaid-phosphate-binders-prior-authorization-request

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