Provider
QP75-22 MHCP Pharmacy Benefit Exclusion for Alymsys® Byooviz™ and Igalmi™
Program effective Date: Sep 14, 2022
Program effective Date: Sep 14, 2022
Program effective Date: Sep 01, 2022
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025
Program effective Date: Aug 24, 2022
Program effective Date: Aug 24, 2022