Provider
QP78-21 Commercial Pharmacy Benefit Update – New Drug-Related Quantity Limit (QL) Criteria: Stromectol® (ivermectin)
Program effective Date: Oct 13, 2021
Program effective Date: Oct 13, 2021
Program effective Date: Oct 13, 2021
Program effective Date: Oct 01, 2021
Program effective Date: Oct 01, 2021
Quantity Limit
Program effective Date: Jun 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jun 01, 2025
Program effective Date: May 26, 2021
Program effective Date: May 26, 2021
Program effective Date: May 26, 2021
Program effective Date: May 26, 2021