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CA-27, Authorization Request form and Certification/Letter of Medical Necessity for Opioie Medications
ICR 201606-1240-003 · OMB 1240-0055 · Object 65566102.
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Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | CA-27, Authorization Request form and Certification/Letter of Medical Necessity for Opioie Medications |
| File Modified | 2016-10-12 |
| File Created | 2016-10-11 |
| Conversion State | complete |