Provider
Attention Deficit [Hyperactivity] Disorder (ADHD/ADD) Agents - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2024
Quantity Limit
Program effective Date: Jun 01, 2024
Step Therapy, Quantity Limit
Program effective Date: Jan 01, 2025
Program effective Date: Apr 10, 2024
Program effective Date: Apr 10, 2024
Program effective Date: May 08, 2024
Program effective Date: Mar 01, 2024
Program effective Date: Mar 01, 2024
Program effective Date: Mar 01, 2024
Program effective Date: Mar 01, 2024