Provider
P55-25 Prime Therapeutics Management (UM) Program: Medical Drug Updates
Program effective Date: Sep 02, 2025
Program effective Date: Sep 02, 2025
Program effective Date: Sep 02, 2025
Program effective Date: Sep 02, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025