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CA 27 LMN Opioids Instructions
Authorization Request Form/Certification/Letter of Medical Necessity
CA 27 LMN Opioids Instructions
OMB: 1240-0055
OMB.report
DOL/OWCP
OMB 1240-0055
ICR 202405-1240-002
IC 221978
CA 27 LMN Opioids Instructions
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