Provider
Urinary Incontinence - Medicaid
Quantity Limit
Program effective Date: Nov 01, 2024
Quantity Limit
Program effective Date: Nov 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Aug 01, 2025
Quantity Limit
Program effective Date: Sep 01, 2024
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Quantity Limit
Program effective Date: Apr 01, 2025
Quantity Limit
Program effective Date: Sep 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Apr 01, 2025
Quantity Limit
Program effective Date: Sep 01, 2024