Provider
P27-17 New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Antifungal Agents
Program effective Date: May 25, 2017
Program effective Date: May 25, 2017
Program effective Date: May 23, 2017
Program effective Date: May 18, 2017
Program effective Date: May 16, 2017
Program effective Date: May 15, 2017
Program effective Date: May 10, 2017
Program effective Date: May 09, 2017
Program effective Date: May 08, 2017
Program effective Date: May 08, 2017
Program effective Date: May 08, 2017