Provider
Inhaled Antibiotics Duplicate Therapy - Medicaid - Effective Date 03/01/2025
Quantity Limit
Program effective Date: Mar 01, 2025
Quantity Limit
Program effective Date: Mar 01, 2025
Program effective Date: Mar 27, 2024
Program effective Date: Jan 10, 2024
Program effective Date: Jan 10, 2024
Program effective Date: Apr 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Nov 01, 2024