Provider
Xdemvy - Medicaid
Quantity Limit
Program effective Date: Feb 01, 2025
Quantity Limit
Program effective Date: Feb 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jul 01, 2025
Quantity Limit
Program effective Date: Apr 01, 2025
Quantity Limit
Program effective Date: Mar 01, 2025
Program effective Date: Mar 27, 2024
Program effective Date: Mar 27, 2024
Program effective Date: Mar 27, 2024
Program effective Date: Mar 27, 2024
Program effective Date: Mar 27, 2024