Provider
QP88-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization Criteria: Phenylketonuria
Program effective Date: Nov 14, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Mar 01, 2017
Program effective Date: Dec 01, 2016
Program effective Date: Jul 17, 2017
Program effective Date: Oct 26, 2016
Program effective Date: Jun 05, 2017
Program effective Date: Jan 09, 2017
Program effective Date: Dec 04, 2017
Program effective Date: Apr 10, 2017
Program effective Date: Aug 21, 2018