Provider
QP16-19 Pharmacy Benefit Update - New Drug-Related Prior Authorization with Quantity Limit Criteria: Orilissa (elagolix)
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 22, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019