Benefits & Coverage
2023-hcr-womens-preventive-services.pdf
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Displaying 1621 - 1630 of 3698 results
Provider
Oral Inhalers - Medicaid
Quantity Limit
Program effective Date: Apr 01, 2025
Provider
Pain Medications - Medicaid
Quantity Limit
Program effective Date: Apr 01, 2025
Provider
Buprenorphine, Buprenorphine/Naloxone for Opioid Dependence - Medicaid
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Ketorolac - Medicaid
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Ketorolac - Commercial
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Buprenorphine, Buprenorphine/Naloxone for Opioid Dependence - Commercial
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Xhance - Medicaid
Quantity Limit
Program effective Date: Apr 01, 2025
Provider
Benzodiazepines - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025