Provider
Zoryve™ (roflumilast) - Medicaid - Effective Date 02/01/2025
Prior Authorization
Program effective Date: Feb 01, 2025
Prior Authorization
Program effective Date: Feb 01, 2025
Quantity Limit
Program effective Date: Feb 01, 2025
Program effective Date: Feb 01, 2023
Program effective Date: Feb 01, 2023
Quantity Limit
Program effective Date: Mar 01, 2025
Quantity Limit
Program effective Date: Mar 01, 2025
Program effective Date: Feb 01, 2023
Program effective Date: Feb 01, 2023
Program effective Date: Jan 25, 2023
Program effective Date: Jan 25, 2023