Provider
P44-17 New Drug-Related Prior Authorization and Quantity Limit Criteria: Opioid, Buprenorphine Concurrent Therapy
Program effective Date: Aug 14, 2017
Program effective Date: Aug 14, 2017
Program effective Date: Apr 28, 2017
Program effective Date: Aug 01, 2018
Program effective Date: Jun 13, 2017
Program effective Date: Sep 25, 2017
Program effective Date: Apr 04, 2017
Program effective Date: Dec 07, 2017
Program effective Date: Jan 09, 2018
Program effective Date: May 01, 2018
Program effective Date: May 25, 2017