Provider
QP57-21 Philips Respironics Device Recall
Program effective Date: Jul 14, 2021
Program effective Date: Jul 14, 2021
Program effective Date: Jul 14, 2021
Formulary Exception, Quantity Limit
Program effective Date: Jan 01, 2025
Quantity Limit
Program effective Date: Aug 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Jun 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025
Prior Authorization
Program effective Date: Feb 01, 2025
Prior Authorization
Program effective Date: Feb 01, 2025