Provider
QP66-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization with Quantity Limit Criteria: Noctiva (desmopressin acetate)
Program effective Date: Aug 21, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Jul 20, 2017
Program effective Date: Aug 08, 2017
Program effective Date: Aug 21, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Sep 12, 2017
Program effective Date: Sep 28, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Nov 07, 2017
Program effective Date: Oct 11, 2018