Provider
Interleukin-1 (IL-1) Inhibitors - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Aug 01, 2024
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Displaying 2121 - 2130 of 3661 results
Provider
QP86-21 Commercial Pharmacy Benefit Exclusion for Mitigare®
Program effective Date: Nov 10, 2021
Provider
QP94-21 MHCP Pharmacy Benefit Exclusion for Triesence® and Dexycu™
Program effective Date: Nov 24, 2021
Provider
P69-21 eviCore Healthcare Specialty Utilization Management (UM) Program - Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
Program effective Date: Nov 01, 2021
Provider
P70-21 New: eviCore Durable Medical Equipment (DME) Supplementary Guidelines for Medicare Advantage Subscribers
Program effective Date: Nov 01, 2021
Provider
P71-21 Updated Minnesota Health Care Programs and Minnesota Senior Health Options (MSHO) Prior Authorization and Medical Policy Requirements
Program effective Date: Nov 01, 2021
Provider
QP89-21 Pharmacy Benefit Exclusion for Lantus and Lantus Solostar
Program effective Date: Nov 10, 2021