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Provider Help Desk: (p) 888-420-9711 (f) 800-408-1088 | Member Help Desk: (p) 866-796-2463 (f) 207-287-8601
Prior Authorization (PA) Helpdesk (for Provider PA inquiries): (p) 888-445-0497 (f) 888-879-6938

Pain Management

The following files contain information and materials for use by physicians who participate in Maine's pharmacy benefits.

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Name Description Date
Pharmacy Referral Form 124.35 KB 2017/06/05
Physician Referral Form 111.35 KB 2017/06/05
PA Waiver Form 91.12 KB 2017/06/01
Pain Management Policy 146.17 KB 2017/02/20