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medicaid-general-coding-073-clinical-trial.pdf
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commercial-general-coding-079-hair-removal-for-gender-affirming-procedures.pdf
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commercial-general-coding-073-clinical-trial.pdf
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Antidepressant - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Gabapentin ER (extended-release) - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Lyrica and Savella - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Benzodiazepines - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Vtama (tapinarof) - Commercial
Prior Authorization
Program effective Date: Jun 01, 2025
Provider
Vtama (tapinarof) - Medicaid
Prior Authorization
Program effective Date: Jun 01, 2025