MagellanRX Commercial Prior Authorization List
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Displaying 2181 - 2190 of 3878 results
Provider
QP59-24 Commercial Pharmacy Benefit Exclusion for Select Medications
Program effective Date: Jul 24, 2024
Provider
QP60-24 Minnesota Department of Health Provider Data Audit
Program effective Date: Jul 24, 2024
Provider
QP61-24 Reimbursement Policies and Coding for Durable Medical Equipment & Supplies
Program effective Date: Jul 24, 2024
Provider
QP55R2-23 Change in Processing for Replacement Claims
Program effective Date: Jul 24, 2024
Provider
Saxenda Wegovy Zepbound - Commercial
Coverage Exception, Formulary Exception, Quantity Limit
Program effective Date: Sep 01, 2025
Provider
QP54-24 MHCP Pharmacy Benefit Exclusion for DefenCath®
Program effective Date: Jul 10, 2024
Provider
QP57-24 Commercial and MHCP Pharmacy Benefit Exclusion for Beqvez® and Hepzato™
Program effective Date: Jul 10, 2024
Provider
QP55-24 MHCP Pharmacy Benefit Update: Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective August 1, 2024
Program effective Date: Jul 10, 2024
Provider
QP56-24 Commercial Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective September 1, 2024
Program effective Date: Jul 10, 2024