Provider
QP18-18 Medical Drug Exclusion Lists Expanded to Include Ixifi, Durolane, Visco 3 and TriVisc
Program effective Date: Mar 08, 2018
Documents & Forms Results
Displaying 2661 - 2670 of 3563 results
Provider
QP41-18 Addition of Drugs to the Self-Administered Oncology Prior Authorization with Quantity Limit Program
Program effective Date: Jun 06, 2018
Provider
QP33-17 ICD-10 Grouper Updates
Program effective Date: Oct 17, 2017
Provider
QP10-18 Routes of Administration Pharmacy Benefit Exclusion
Program effective Date: Feb 05, 2018
Provider
QP21-17 New Pre-Authorization Forms for Bariatric Surgery, Lumbar Fusion and Percutaneous Facet Joint Denervation
Program effective Date: Aug 08, 2017
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