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That statute reads, in part, clinical criteria or any other generally accepted clinical practice guidelines used to assist in evaluating the medical necessity of a requested health service shall be used solely as guidelines and shall not be the basis for a final determination of medical necessity. Toubman said the plan is, just plain illegal

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E.BurgoyneT.LyuZ.OquaA

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Even among those with payer approval, fewer than one in three prescriptions are ever filled due to patient abandonment, representing an additional 21% demand lost

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Kim SM, Kwon EJ, Oh JY, Kim HS, Park S, Jang G, et al

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