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Dear Provider,
Effective for claims with dates of service on and after November 1, 2015, Washington Apple Health (Medicaid), administered by the Health Care Authority, will update the Expedited Authorization (EA) list as follows:
|
Product
|
Code
|
Criteria
|
|
Lamictal® IR (lamotrigine IR)
|
083
|
Removed
|
|
084
|
Removed
|
|
lamotrigine IR
|
083
|
Removed
|
|
084
|
Removed
|
Topamax®/
Topamax®
Sprinkle
(topiramate)
|
036
|
Removed
|
|
045
|
Removed
|
|
topiramate
|
036
|
Removed
|
|
045
|
Removed
|
For more details, see the agency’s Expedited Authorization (EA) list.
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