Provider
QP51-21 Commercial Pharmacy Benefit Update – Revised Drug-Related Prior Authorization (PA) Requirement Notification – Effective July 25, 2021
Program effective Date: Jun 09, 2021
Program effective Date: Jun 09, 2021
Program effective Date: May 03, 2021
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Mar 01, 2025
Program effective Date: Apr 28, 2021