Provider
QP47-18 Pharmacy Benefit Update - New Drug-Related PA with QL Criteria: Opioids Extended Release
Program effective Date: Jun 11, 2018
Documents & Forms Results
Displaying 2771 - 2780 of 3100 results
Provider
QP44-18 Pharmacy Benefit Update - New Drug-Related PA with QL Criteria: Lyrica CR (pregabalin Extended Release)
Program effective Date: Jun 06, 2018
Provider
QP41-18 Addition of Drugs to the Self-Administered Oncology Prior Authorization with Quantity Limit Program
Program effective Date: Jun 06, 2018
Provider
QP46-18 Change to Call Center for Transportation for MHCP Members
Program effective Date: Jun 06, 2018
Provider
QP42-18 Addition of Drugs to the Cystic Fibrosis Transmembrane Conductance Regulator PA with QL Program
Program effective Date: Jun 06, 2018
Provider
QP43-18 Addition of Drugs to the Oral Immunotherapy PA with QL Program
Program effective Date: Jun 06, 2018
Provider
QP45-18 Pharmacy Benefit Update - New Drug-Related PA with QL Criteria: Xermelo (telotristat)
Program effective Date: Jun 06, 2018
Provider
QP39-18 Provider Cost Data Update
Program effective Date: Jun 01, 2018
Provider
P23-18 Clinical Reviews for Court-Ordered Substance Use Disorder Treatment
Program effective Date: Jun 01, 2018
Provider
P25-18 eviCore Healthcare Specialty Utilization Management (UM)
Program effective Date: Jun 01, 2018