Provider
QP85-22 MHCP Pharmacy Benefit Update: New drug-related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Radicava® (edaravone)
Program effective Date: Oct 26, 2022
Program effective Date: Oct 26, 2022
Program effective Date: Oct 26, 2022
Program effective Date: Oct 12, 2022
Program effective Date: Sep 27, 2023
Program effective Date: Sep 27, 2023
Program effective Date: Sep 27, 2023