Provider
P30-17 New Drug-Related Prior Authorization (PA) Criteria: Topical Retinoids
Program effective Date: Jun 05, 2017
Program effective Date: Jun 05, 2017
Program effective Date: Sep 04, 2018
Program effective Date: Aug 14, 2017
Program effective Date: Apr 02, 2018
Program effective Date: Mar 01, 2018
Program effective Date: Oct 24, 2017
Program effective Date: Feb 08, 2018
Program effective Date: Dec 12, 2017
Program effective Date: Oct 10, 2017
Program effective Date: Jun 01, 2018