Provider
QP79-18 Addition of Drug to the Hereditary Angioedema Prior Authorization with Quantity Limit Program
Program effective Date: Sep 21, 2018
Documents & Forms Results
Displaying 2781 - 2790 of 3629 results
Provider
QP77-18 Pharmacy Benefit Exclusion for Onpattro (patisiran) Lipid Complex Intravenous (IV) Injection
Program effective Date: Sep 11, 2018
Provider
QP57-18 New Drug-Related Prior Authorization with Quantity Limit Criteria: Hereditary Angioedema
Program effective Date: Jul 19, 2018
Provider
QP83-18 Cotiviti Healthcare Creates a Provider Connection Portal for Providers
Program effective Date: Oct 11, 2018
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
QP40-18 Pharmacy Benefit Update - New Drug-Related PA with QL Criteria: Selective Serotonin Inverse Agonist (SSIA)
Program effective Date: May 31, 2018
Provider
QP30-18 Subscriber Identification (ID) Cards
Program effective Date: Apr 27, 2018
Provider
QP31-18 Pharmacy Benefit Update - New Drug-Related Step Therapy with Quantity Limit Criteria: Metformin ER
Program effective Date: May 04, 2018
Provider
QP53-18 Medical Drug Policy Criteria Expanded for Stelara and Simponi Aria
Program effective Date: Jun 27, 2018
Provider
QP23-18 Pharmacy Benefit Exclusion for Crysvita
Program effective Date: Apr 13, 2018