Provider
Zoryve (roflumilast) - Medicaid
Prior Authorization
Program effective Date: Oct 15, 2025
Prior Authorization
Program effective Date: Oct 15, 2025
Prior Authorization, Quantity Limit
Program effective Date: Oct 15, 2025
Prior Authorization, Quantity Limit
Program effective Date: Oct 15, 2025
Step Therapy, Quantity Limit
Program effective Date: Oct 15, 2025
Prior Authorization, Quantity Limit
Program effective Date: Oct 15, 2025
Step Therapy
Program effective Date: Oct 15, 2025
Program effective Date: Oct 15, 2025
Prior Authorization, Quantity Limit
Program effective Date: Oct 15, 2025
Prior Authorization
Program effective Date: Oct 15, 2025
Prior Authorization
Program effective Date: Oct 01, 2025