Provider
QP30-22 MHCP Pharmacy Benefit Update – New drug-related Prior Authorization (PA) with Quantity Limit (QL) Criteria: TyrvayaTM (varenicline)
Program effective Date: Apr 13, 2022
Program effective Date: Apr 13, 2022
Program effective Date: Apr 13, 2022
Program effective Date: Apr 13, 2022
Program effective Date: Apr 13, 2022
Program effective Date: Apr 01, 2022
Program effective Date: Apr 01, 2022
Program effective Date: Apr 01, 2022
Program effective Date: Apr 01, 2022
Program effective Date: Apr 01, 2022
Program effective Date: Apr 01, 2022