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There's a three month trial period
cordarone injection
(10) Hannan TJ, Rotich J, Odero WWO, Menya D, Esamai E, Einterz RM, Sidle JE,
cordarone 100 mg tablet
111 Segment Identification N 2 variable R 12=Prior Authorization
cordarone amiodarone
6 Eastern (EAHEC) 6 Southern Regional (SRAHEC)
combivir tablets
Note: Although these are approval codes, the approval is for the UT and P&C