Provider
Selective Serotonin Inverse Agonist (SSIA) - Medicaid
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Step Therapy, Quantity Limit
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Quantity Limit
Program effective Date: Jul 01, 2024
Program effective Date: Jun 26, 2024
Program effective Date: Jun 26, 2024
Program effective Date: Jun 26, 2024
Program effective Date: Jun 26, 2024