Provider
Samsca (tolvaptan) - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: Aug 01, 2025
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Displaying 2291 - 2300 of 3770 results
Provider
QP48-21 Learn to Live – An Online Behavioral Health Resource for Select Blue Cross and Blue Shield of Minnesota Health Plan Members
Program effective Date: Jun 09, 2021
Provider
QP50-21 Commercial Pharmacy Benefit Update – New and Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective August 1, 2021
Program effective Date: Jun 09, 2021
Provider
P35-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Medical Oncology Drug Prior Authorization Updates for Fully Insured Commercial and Medicare Advantage Subscribers
Program effective Date: Jun 01, 2021
Provider
P33-21 Change to Medical Review Process for Outpatient Therapies Services
Program effective Date: Jun 01, 2021
Provider
P31-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Laboratory Management Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
Program effective Date: May 03, 2021
Provider
P30-21 eviCore Healthcare Specialty Utilization Management (UM) Program - Cardiology and Radiology Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
Program effective Date: May 03, 2021
Provider
P24-21 2021 Renewal Changes Summary for Aware Professional Providers
Program effective Date: May 03, 2021
Provider
P32-21 eviCore Healthcare Specialty Utilization Management (UM) Program – Musculoskeletal Clinical Guideline Updates for Fully Insured Commercial and Medicare Advantage Subscribers
Program effective Date: May 03, 2021
Provider
P22-21 Updated Minnesota Health Care Programs and Minnesota Senior Health Options (MSHO) Prior Authorization and Medical Policy Requirements
Program effective Date: May 03, 2021