Provider
P74-24 Prime Therapeutics Management (UM) Program: Medical Drug Updates
Program effective Date: Dec 02, 2024
Program effective Date: Dec 02, 2024
Program effective Date: Dec 02, 2024
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Program effective Date: Nov 27, 2024
Program effective Date: Nov 27, 2024