Provider
QP18-19 Pharmacy Benefit Update - New Drug-Related Prior Authorization with Quantity Limit Criteria: Sucralfate Suspension
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 27, 2019
Program effective Date: Feb 22, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019
Program effective Date: Feb 13, 2019