Provider
QP54-26 MHCP Pharmacy Benefit Exclusion for Lumvoa™, Nufymco™, and Otarmeni™
Program effective Date: Aug 12, 2026
Program effective Date: Aug 12, 2026
Program effective Date: Aug 12, 2026
Program effective Date: Aug 12, 2026
Program effective Date: Aug 12, 2026
Prior Authorization
Program effective Date: Oct 01, 2026
Program effective Date: Aug 26, 2026