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CA-27, Authorization Request form and Certification/Letter of Medical Necessity for Opioid Medications
ICR 202404-1240-005 · OMB 1240-0055 · Object 142012101.
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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 |