Provider
Bonjesta, Diclegis - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Nov 01, 2024
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Displaying 2151 - 2160 of 3794 results
Provider
Bempedoic Acid - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2024
Provider
P56-21 New Medical, Medical Drug and Behavioral Health Policy Management Updates—Effective December 6, 2021
Program effective Date: Oct 01, 2021
Provider
P55-21 Early Intensive Developmental and Behavioral Intervention (EIDBI) Service Authorization and Claims Submission for Minnesota Health Care Programs
Program effective Date: Oct 01, 2021
Provider
QP84-21 MHCP Pharmacy Benefit Update – New Drug-Related Prior Authorization (PA) Criteria: Cholestasis Pruritis
Program effective Date: Oct 27, 2021
Provider
QP85R1-21 Resolution Process for Providers Serving Minnesota Health Care Programs (MHCP) Members
Program effective Date: May 11, 2022
Provider
QP71-21 Provider Sharing of Protected Health Information (PHI) with Care Coordinators for Minnesota Health Care Program Members
Program effective Date: Sep 22, 2021
Provider
Triptan - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
ARB/Renin Inhibitors - Commercial
Step Therapy, Quantity Limit
Program effective Date: Oct 01, 2024