Provider
P47-24 MagellanRx Management, a Prime Therapeutics Company (UM) Program: Medical Drug Updates
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Program effective Date: Jul 01, 2024
Prior Authorization, Quantity Limit
Program effective Date: Jul 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jul 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jul 01, 2025
Quantity Limit
Program effective Date: Jun 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jun 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jan 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025