Provider
QP92-18 Addition of Drug to the Topical Lidocaine Prior Authorization with Quantity Limit Program
Program effective Date: Nov 14, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Jul 26, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Sep 25, 2018
Program effective Date: Sep 11, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Sep 07, 2018
Program effective Date: Nov 14, 2018