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Get IL HFS 3082 2015-2024

Quested below Typically, if a drug requires prior approval, alternatives are available without prior approval. To find an alternative that is available without prior approval, see the Department's Preferred Drug List at http://www.hfs.illinois.gov/preferred/ or search for prior approval requirements by drug at http://www.ilpriorauth.com/ Patient information (required): Prescriber information (required): Name: Name: DOB: Phone: Fax: Nine-Digit HFS Recipient #: NPI #: Pharmacy information .

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