Provider
P50-16 Addition of a Drug (Xiidra) to the Ophthalmic Immunomodulators Prior Authorization with Quantity Limit Program
Program effective Date: Oct 28, 2016
Program effective Date: Oct 28, 2016
Program effective Date: Nov 09, 2016
Program effective Date: Nov 01, 2016
Program effective Date: Feb 27, 2017
Program effective Date: Sep 30, 2016
Program effective Date: Apr 28, 2017
Program effective Date: May 10, 2017
Program effective Date: Jul 27, 2016
Program effective Date: Jun 08, 2016
Program effective Date: Apr 07, 2016