Provider
P14-16 Addition of Lazanda ® to Existing Drug-Related Prior Authorization with Quantity Limit Program
Program effective Date: Mar 29, 2016
Program effective Date: Mar 29, 2016
Program effective Date: Mar 22, 2016
Program effective Date: Mar 08, 2016
Program effective Date: Feb 26, 2016
Program effective Date: Feb 23, 2016
Program effective Date: Feb 22, 2016
Program effective Date: Feb 08, 2016
Program effective Date: Feb 08, 2016
Program effective Date: Feb 08, 2016
Program effective Date: Feb 08, 2016