Provider
QP69-19 Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Riluzole
Program effective Date: Aug 14, 2019
Program effective Date: Aug 14, 2019
Program effective Date: Aug 14, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019
Program effective Date: Aug 01, 2019