Provider
QP11-21 Commercial Pharmacy Benefit Exclusion for Select Medications
Program effective Date: Feb 10, 2021
Documents & Forms Results
Displaying 2331 - 2340 of 3288 results
Provider
QP10-21 Commercial Pharmacy Benefit Exclusion for Emtricitabine-Tenofovir Disoproxil Fumarate Tablet 100-150 mg, 133-200 mg, and 167-250 mg
Program effective Date: Feb 10, 2021
Provider
QP12-21 Commercial Pharmacy Benefit Update – New and Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective April 1, 2021
Program effective Date: Feb 10, 2021
Provider
QP16-21 Overpayment Refund/Recoupment Notification Process for Minnesota Health Care Programs
Program effective Date: Feb 10, 2021
Provider
QP15-21 Provider Fee Schedule Request
Program effective Date: Feb 10, 2021
Provider
QP14-21 MHCP Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Enspryng™(satralizumab-mwge) PAQL
Program effective Date: Feb 10, 2021
Provider
QP13-21 Commercial and MHCP Pharmacy Benefit Exclusion for Cabenuva
Program effective Date: Feb 10, 2021
Provider
QP9-21 New Request Form for Medical Policy Coverage Exception Requests for Commercial Members
Program effective Date: Feb 10, 2021
Provider
P6-21 New Medical Policy IV-168: Hysterectomy Surgery for Non-Malignant Conditions
Program effective Date: Feb 01, 2021
Provider
P11-21 Updated Preadmission Services for Inpatient Stays Reimbursement Policy for Minnesota Health Care Programs Members
Program effective Date: Feb 01, 2021