Prescription & Pharmacy
Provider
bc-com-med-adv-preferred-drug-list-2023-1002.pdf
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Program effective Date: Oct 02, 2023
Prior Authorization, Quantity Limit
Program effective Date: Aug 01, 2025
Quantity Limit
Program effective Date: Sep 01, 2025
Quantity Limit
Program effective Date: Sep 01, 2025