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Opioid Clinical Policy
Standard PA Form and Addendums FFS
Forms (Fee-For-Service Medicaid Only)
PDL
TX-Phone-Number
For assistance with Fee For Service
PA requests only, call the Prior
Authorization Call Center
at 1-877-PA-TEXAS (1-877-728-3927)
Managed-Care
Patient member of Medicaid Managed Care Organization (MCO)?
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