Provider
QP21-17 New Pre-Authorization Forms for Bariatric Surgery, Lumbar Fusion and Percutaneous Facet Joint Denervation
Program effective Date: Aug 08, 2017
Documents & Forms Results
Displaying 2641 - 2650 of 3623 results
Provider
QP14-17 McKesson Interqual Criteria Update
Program effective Date: Jul 05, 2017
Provider
QP89-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization with Quantity Limit Criteria: Circadian Rhythm Disorder
Program effective Date: Nov 14, 2018
Provider
QP32-17 Pharmacy Benefit Update - Dispense as Written (DAW) 1 Clarification
Program effective Date: Oct 11, 2017
Provider
QP91-18 Addition of Drug to the Thrombopoietin Receptor Agonists Prior Authorization with Quantity Limit Program
Program effective Date: Nov 14, 2018
Provider
QP80-18 Universal Pharmacy Policy for MHCP Subscribers - Immediate Release and Extended Release Opioids Initial Fill Limit
Program effective Date: Sep 24, 2018
Provider
QP11-17 Provider Services Extended Hours and Callback Technology
Program effective Date: May 23, 2017
Provider
QP4-18 Remember to Request Subscriber ID Cards
Program effective Date: Jan 16, 2018
Provider
QP88-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization Criteria: Phenylketonuria
Program effective Date: Nov 14, 2018
Provider
QP3-17 Interpreter Services - Correct Unit of Service Billing
Program effective Date: Mar 01, 2017