Provider
Bempedoic Acid - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Sep 01, 2025
Program effective Date: Oct 27, 2021
Program effective Date: Oct 27, 2021
Program effective Date: Oct 27, 2021
Program effective Date: Oct 27, 2021
Program effective Date: Oct 27, 2021
Program effective Date: May 11, 2022
Program effective Date: Oct 13, 2021
Program effective Date: Oct 13, 2021