Provider
QP30-20 MHCP Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Oxbryta™
Program effective Date: Mar 25, 2020
Program effective Date: Mar 25, 2020
Program effective Date: Mar 25, 2020
Program effective Date: Mar 25, 2020
Program effective Date: Mar 25, 2020
Program effective Date: Mar 11, 2020
Program effective Date: Mar 11, 2020
Program effective Date: Mar 11, 2020
Program effective Date: Mar 11, 2020
Program effective Date: Mar 11, 2020
Program effective Date: Mar 02, 2020