Provider
P57-17 Addition of Drugs to the Self-Administered Oncology Prior Authorization with Quantity Limit Program
Program effective Date: Oct 24, 2017
Documents & Forms Results
Displaying 3291 - 3300 of 3498 results
Provider
P19R1-17 New Remittance Code: OA-45 for Purchased/Referred (PRC)-Eligible Subscribers
Program effective Date: Oct 24, 2017
Provider
P58-17 New Drug-Related Prior Authorization with Quantity Limit Criteria: Topical Doxepin
Program effective Date: Oct 24, 2017
Provider
QP33-17 ICD-10 Grouper Updates
Program effective Date: Oct 17, 2017
Provider
P56-17 Implementation of a Medical Drug Exclusions List
Program effective Date: Oct 16, 2017
Provider
QP32-17 Pharmacy Benefit Update - Dispense as Written (DAW) 1 Clarification
Program effective Date: Oct 11, 2017
Provider
P55-17 Prior Authorization Requirement for Orthognathic Surgery
Program effective Date: Oct 11, 2017
Provider
P53-17 New Drug-Related Prior Authorization Requirements for Edaravone (Radicava) and Cerliponase Alfa (Brineura)
Program effective Date: Oct 10, 2017
Provider
P54-17 Clarification to Commercial Prior Authorization Requirements for Early Intensive Behavioral Intervention (EIBI)
Program effective Date: Oct 10, 2017
Provider
QP31-17 New Pre-Authorization Form for Infliximab
Program effective Date: Oct 05, 2017