Provider
QP85-19 Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Sunosi ™
Program effective Date: Oct 23, 2019
Program effective Date: Oct 23, 2019
Program effective Date: Oct 23, 2019
Program effective Date: Oct 23, 2019
Program effective Date: Oct 23, 2019
Program effective Date: Oct 09, 2019
Program effective Date: Oct 09, 2019
Program effective Date: Oct 09, 2019
Program effective Date: Oct 01, 2019
Program effective Date: Oct 01, 2019
Program effective Date: Oct 01, 2019