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CA-27, Authorization Request form and Certification/Letter of Medical Necessity for Opioid Medications
ICR 201705-1240-001 · OMB 1240-0055 · Object 73762601.
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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 Opioid Medications |
| Conversion State | complete |