Provider
Constipation Agents - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: Jan 01, 2025
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Displaying 2181 - 2190 of 3661 results
Provider
Verquvo® (vericiguat) - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2024
Provider
Verquvo® (vericiguat) - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2024
Provider
Proton Pump Inhibitors (PPI's) - Medicaid
Quantity Limit
Program effective Date: Oct 01, 2024
Provider
QP85R1-21 Resolution Process for Providers Serving Minnesota Health Care Programs (MHCP) Members
Program effective Date: May 11, 2022
Provider
QP76-21 Commercial and MHCP Pharmacy Benefit Exclusion for Uptravi®
Program effective Date: Oct 13, 2021
Provider
Constipation Agents - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Nov 01, 2024
Provider
Compounded Medications - Commercial
Formulary Exception, Coverage Exception
Program effective Date: Nov 01, 2024
Provider
Ophthalmic Antihistamine - Commercial
Step Therapy
Program effective Date: Sep 01, 2024