Provider
Metformin ER - Medicaid
Quantity Limit
Program effective Date: May 01, 2025
Quantity Limit
Program effective Date: May 01, 2025
Program effective Date: Apr 10, 2024
Program effective Date: Apr 10, 2024
Program effective Date: Apr 10, 2024
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2025
Program effective Date: Apr 01, 2024
Program effective Date: Apr 01, 2024
Program effective Date: Apr 01, 2024