Provider
P60-16 New Drug-Related Prior Authorization Criteria with Quanatity Limit for Topical Diclofenac Gel, Fluorourcil Cream, Imquimod Cream and Ingenol Gel
Program effective Date: Dec 13, 2016
Documents & Forms Results
Displaying 2401 - 2410 of 3642 results
Provider
P39-16 Expansion of Drug-Related Xenazine Prior Authorization Criteria with Quantity Limit to Minnesota Health Care Programs
Program effective Date: Aug 03, 2016
Provider
P40-16 New Drug-Related Prior Authorization Criteria with Quantity Limit for Lidocaine Transdermal
Program effective Date: Aug 03, 2016
Provider
P45R1-16 Update on New Drug, Ocrevus (ocrelizumab)
Program effective Date: Dec 05, 2016
Provider
P45-16 A New Drug, Ocrevus (ocrelizumab) Will Require Prior Authorization
Program effective Date: Dec 05, 2016
Provider
P57-16 Change in Medical Policy and Commercial Benefit Coverage of CT Colonography Colorectal Cancer Screening Test
Program effective Date: Nov 22, 2016
Provider
P37-16 Addition of a Drug (Epclusa) to the Hepatitis C Second Generation Prior Authorization with Quantity Limit Program
Program effective Date: Aug 03, 2016
Provider
P24-17 AOR No Longer Required for Submission of Organization Determinations for Platinum Blue Subscribers
Program effective Date: May 18, 2017
Provider
P11R1-17 Revised: Pre-Admission Notification Requirement for Admissions effective June 1, 2017
Program effective Date: May 08, 2017
Provider
P12-16 Medicaid Claims Handling for Out of State Medicaid Members
Program effective Date: Feb 26, 2016