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 9/27/2023  4:02 PM        37120 CO-1082.pdf
10/19/2023  3:12 PM       850189 CO-1301-rev-8-2023.pdf
10/19/2023  3:13 PM      1316715 CO-1302-rev-8-2023.pdf
10/19/2023  3:13 PM       939155 CO-1303-rev-8-2023.pdf
10/19/2023  3:13 PM      1094715 CO-1304-rev-8-2023.pdf
  9/5/2023  2:44 PM      1125941 CO-1315-ER-Copay-Waiver_REV_06.2023-1.pdf
10/19/2023  3:14 PM      1315354 CO-1323-rev-8-2023.pdf
  1/8/2024  4:48 PM       836159 CO-1328-rev-8-2023.pdf
  9/5/2023  2:44 PM      1059608 CO-1331-Site-of-Service-Waiver_REV_06.2023-1.pdf
 4/23/2025  1:11 PM       833118 CO-744-OE-REV.-04.2025-1.pdf
 11/7/2023  4:30 PM       219560 CO-744-OE-REV.-10.2023-1.pdf
 11/7/2023  4:30 PM       226600 CO-744-REV.10.2023-1.pdf
 9/21/2023  9:48 AM       201870 Formulary_Exception_Prior_Authorization_Request_Form-October-2017.pdf
10/19/2023  4:12 PM      1162366 Mail_Service_Order_Form-October-2017.pdf
  9/7/2023 11:19 AM       938548 State-of-CT-2023-Medical-Plan-Doc-r08-082823.pdf
 9/28/2023 12:17 PM       983202 State-of-CT-2023-Medical-Plan-Doc-r08-082823_ES.pdf
  9/7/2023 11:19 AM       836174 State-of-CT-2023-Partnership-Medical-Plan-Document-r06-082823.pdf
 9/27/2023  4:09 PM       879913 State-of-CT-2023-Partnership-Medical-Plan-Document-r06-082823_ES.pdf
  9/7/2023 11:19 AM       714621 State-of-CT-2023-Partnership-Pharmacy-Plan-Document.pdf
 9/27/2023  4:09 PM       701760 State-of-CT-2023-Partnership-Pharmacy-Plan-Document_ES.pdf
  9/7/2023 11:19 AM      1029633 State-of-CT-2023-Pharmacy-Drug-Plan-Document.pdf
 9/28/2023 12:17 PM      1046915 State-of-CT-2023-Pharmacy-Drug-Plan-Document_ES.pdf
 9/14/2023  4:13 PM       285023 State-of-CT-Quality-First-Select-Access-SBC-2023-2024.pdf