Provider
Benign Prostatic Hypertrophy (BPH) - Medicaid
Quantity Limit
Program effective Date: Oct 01, 2024
Quantity Limit
Program effective Date: Oct 01, 2024
Program effective Date: Sep 27, 2023
Program effective Date: Sep 27, 2023
Program effective Date: Sep 27, 2023
Prior Authorization, Quantity Limit
Program effective Date: May 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jan 01, 2025