Provider
Dry Eye Disease - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2024
Quantity Limit
Program effective Date: Oct 01, 2024
Quantity Limit
Program effective Date: Oct 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2024
Quantity Limit
Program effective Date: Oct 01, 2024
Step Therapy, Quantity Limit
Program effective Date: Oct 01, 2024
Program effective Date: Sep 25, 2024
Program effective Date: Sep 11, 2024