Provider
QP51-18 Addition of Drugs to the Metforim ER ST with QL Program
Program effective Date: Jun 25, 2018
Documents & Forms Results
Displaying 2781 - 2790 of 3563 results
Provider
QP25-16 AMP Indicator Removed From Minnesota Health Care Programs (MHCP) Subscriber ID Cards
Program effective Date: Sep 20, 2016
Provider
QP74-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization Criteria: Elmiron (pentosane polysulfate sodium)
Program effective Date: Aug 28, 2018
Provider
QP46-18 Change to Call Center for Transportation for MHCP Members
Program effective Date: Jun 06, 2018
Provider
P59-18 New Acupuncture Update for Commercial Lines of Business - Effective January 1, 2019
Program effective Date: Nov 01, 2018
Provider
P59-17 Government Programs Subscribers Prior Authorization Requirement for Spinal Fusion: Lumbar
Program effective Date: Nov 01, 2017
Provider
P48-16 Criteria Changes to Certain Services on the Prior Authorization List for MHCP Subscribers
Program effective Date: Oct 26, 2016
Provider
P53-17 New Drug-Related Prior Authorization Requirements for Edaravone (Radicava) and Cerliponase Alfa (Brineura)
Program effective Date: Oct 10, 2017
Provider
P58-16 Changes to Prior Authorization for Infertility for Commercial Lines of Business
Program effective Date: Nov 28, 2016
Provider
P6-18 Addition of Drug to the Self-Administered Oncology PA with QL Program
Program effective Date: Feb 01, 2018