Provider
Pseudobulbar Affect (PBA) - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: Apr 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Apr 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Apr 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2025
Program effective Date: May 02, 2022
Program effective Date: May 02, 2022
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2024
Program effective Date: May 25, 2022
Program effective Date: May 25, 2022
Program effective Date: May 02, 2022