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C PRESCRIPTION DRUG PRIOR AUTHORIZATION …

www.aetna.com

Form 61-211 (Revised 12-2016) Effective 7/1/2017 Page 3 of 10 GR-69025-CA (5-17) Aetna complies with applicable Federal civil rights …

  Prescription, Aetna

PRESCRIPTION REGUL˜TION SUMM˜RY CH˜RT

www.ocpinfo.com

PRESCRIPTION REGUL˜TION SUMM˜RY CH˜RT Classification Description Prescription Requirements3 Refills & Transfers Purchase & Sales Records6 Narcotic Drugs ® Drugs listed in the Schedule to

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Prescription for Therapeutic Footwear Diabetic ...

www.greatstepsop.com

*PLEASE FAX TO: Great Steps O&P Solutions – 320-229-1671* *PLEASE FAX TO: Great Steps O&P Solutions – 320-229-1671* Edema_____ (782.3) Neuroma((997.61) Corn(s) (700) (718.87)Ankle Instability 8/9/14/15) Drop Foot (736.79)707 (700 Posterior Tib. Disorder (727.06) 896 Peripheral Vascular Disease (443.9)

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