Provider
Bariatric Surgery Commercial Pre-Authorization Request Form (Medical Policy IV-19) (PDF)
Search Results
Displaying 1531 - 1540 of 4204 results
Provider
QP80-21 BlueRideSM announces No-Load Pilot Program for Non-Emergency Medical Transportation (NEMT) in Greater Minnesota
Program effective Date: Oct 27, 2021
Provider
QP81-21 Save the Date: Best Practices in Value-Based Arrangements
Program effective Date: Oct 27, 2021
Provider
QP82-21 MHCP Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Accrufer™ (ferric maltol)
Program effective Date: Oct 27, 2021
Provider
QP83-21 MHCP Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Kerendia®
Program effective Date: Oct 27, 2021
Provider
QP84-21 MHCP Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) Criteria: Cholestasis Pruritis
Program effective Date: Oct 27, 2021
Provider
QP85R1-21 Resolution Process for Providers Serving Minnesota Health Care Programs (MHCP) Members
Program effective Date: May 11, 2022
Provider
QP76-21 Commercial and MHCP Pharmacy Benefit Exclusion for Uptravi®
Program effective Date: Oct 13, 2021
Provider
QP77-21 Commercial Pharmacy Benefit Update – Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective December 1, 2021
Program effective Date: Oct 13, 2021