Provider
QP55-22 Commercial Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective September 1, 2022
Program effective Date: Jul 13, 2022
Program effective Date: Jul 13, 2022
Program effective Date: Jul 13, 2022
Program effective Date: Jul 13, 2022
Program effective Date: Jul 13, 2022
Program effective Date: Jul 13, 2022
Program effective Date: Jul 13, 2022
Quantity Limit
Program effective Date: Apr 01, 2025
Program effective Date: Jun 22, 2022
Program effective Date: Jun 22, 2022
Program effective Date: Jul 27, 2022