Provider
QP86-22 MHCP Pharmacy Benefit Update: New drug-related Prior Authorization (PA) Criteria: Vtama® (tapinarof)
Program effective Date: Oct 26, 2022
Documents & Forms Results
Displaying 1781 - 1790 of 3111 results
Provider
QP82-22 MHCP Pharmacy Benefit Update New drug-related PA with QL Criteria Vijoice® (alpelisib)
Program effective Date: Oct 12, 2022
Provider
QP80-22 Commercial Pharmacy Benefit Update: New and Revised Drug-Related PA Requirement Notification, Effective December 1, 2022
Program effective Date: Oct 12, 2022
Provider
QP81-22 MHCP Pharmacy Benefit Exclusion for Zynteglo®
Program effective Date: Oct 12, 2022
Provider
QP79-22 New Commercial Pharmacy Benefit Exclusion for Zynteglo®
Program effective Date: Oct 12, 2022