Provider
P4-26 Prime Therapeutics Management (UM) Program: Medical Drug Updates
Program effective Date: Jan 02, 2026
Program effective Date: Jan 02, 2026
Program effective Date: Jan 02, 2026
Program effective Date: Jan 02, 2026
Program effective Date: Jan 02, 2026
Prior Authorization, Quantity Limit
Program effective Date: Oct 15, 2025
Prior Authorization
Program effective Date: Oct 15, 2025
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2026
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2026