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³»     ¿ë 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