2024 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form

2023 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form

2022 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form

2021 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form

2020 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form

2019 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form

2018 Indiana Code 27-1-37.5-10. Request for prior authorization; electronic transmission; standardized form