Provider
QP49-19 Pharmacy Benefit Exclusion for Proventil (albuterol sulfate) HFA and Proventil (albuterol sulfate) HFA Authorized Generic (AG)
Program effective Date: Jun 12, 2019
Documents & Forms Results
Displaying 2531 - 2540 of 3111 results
Provider
QP54-19 Pharmacy Benefit Update – New Drug-Related Utilization Management Program: Opioid Immediate Release (IR) New to Therapy (NTT) Program
Program effective Date: Jun 12, 2019
Provider
QP52-19 Pharmacy Benefit Exclusion for Cimzia, Elzonris, Gamifant, Kalbitor, Khapzory, leucovorin calcium, Nuzyra and Panzyga
Program effective Date: Jun 12, 2019
Provider
QP53-19 Pharmacy Benefit Update – New Drug-Related Prior Authorization with Quantity Limit Criteria: Neurotrophic Keratitis
Program effective Date: Jun 12, 2019
Provider
QP59-19 eviCore Group Number List to be Removed
Program effective Date: Jun 12, 2019
Provider
QP51-19 Pharmacy Benefit Update – New Drug-Related Prior Authorization with Quantity Limit Criteria: Firdapse
Program effective Date: Jun 12, 2019
Provider
QP45-19 Providers Need to Validate Members Coverage
Program effective Date: Jun 12, 2019
Provider
QP55-19 Authorization Attachment Tips on Availity Provider Portal
Program effective Date: Jun 12, 2019
Provider
QP46-19 Pharmacy Benefit Update – New Drug-Related Prior Authorization with Quantity Limit Criteria: Arikayce
Program effective Date: Jun 12, 2019
Provider
P41R1-19 Update: eviCore Medicare Advantage DME Prior Authorization Code list Update
Program effective Date: Jun 03, 2019