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	Reconsideration for Coverage
	November 17, 2003 Department of Community Health Division of Medical Assistance, Pharmacy Unit Prior Approval Pharmacist 123 Main Street City, ST 123458-6789 Fax (xxx) xxx-xxxx RE: Reconsideration for Coverage of Total Parenteral Nutrition On behalf of Mr. ... These things currently work against him in being able to live outside the walls of any hospital because he needs IV TPN and cannot get this as an outpatient through the current Medicaid coverage guidelines. ... Do Good in seeking your approval for coverage of his TPN. Approximate Word count = 530 Approximate Pages = 2.1 (250 words per page double spaced)

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