2026 Self-insured Plan Election Form
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Displaying 2941 - 2950 of 4204 results
Provider
QP67-25 MHCP Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective September 1, 2025
Program effective Date: Aug 13, 2025
Provider
QP66-25 Commercial Pharmacy Benefit Update: New and Revised Drug-Related Prior Authorization (PA) Requirement Notification, Effective October 1, 2025
Program effective Date: Aug 13, 2025
Provider
QP65-25 Commercial Pharmacy Benefit Exclusion for Select Medications
Program effective Date: Aug 13, 2025
Provider
QP64-25 Commercial Pharmacy Benefit Exclusion for Enflonsia™, Imuldosa™, Osenvelt®, Stoboclo®, Yeztugo® and Zusduri™
Program effective Date: Aug 13, 2025
Provider
QP63-25 MHCP Pharmacy Benefit Exclusion for Enflonsia™, Lynozyfic™ and Zusduri™
Program effective Date: Aug 13, 2025
Provider
QP61-25 Change in Replacement Claim Processing
Program effective Date: Aug 13, 2025
Provider
QP45R1-25 Multiple Medicaid Coverages Listed on the Same Claim
Program effective Date: Aug 13, 2025