Provider
P40-16 New Drug-Related Prior Authorization Criteria with Quantity Limit for Lidocaine Transdermal
Program effective Date: Aug 03, 2016
Program effective Date: Aug 03, 2016
Program effective Date: Aug 03, 2016
Program effective Date: Aug 02, 2016
Program effective Date: Aug 01, 2016
Program effective Date: Jul 27, 2016
Program effective Date: Jul 27, 2016
Program effective Date: Jul 27, 2016
Program effective Date: Jul 27, 2016
Program effective Date: Jul 27, 2016
Program effective Date: Jul 27, 2016