Provider
QP91-18 Addition of Drug to the Thrombopoietin Receptor Agonists Prior Authorization with Quantity Limit Program
Program effective Date: Nov 14, 2018
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Displaying 3031 - 3040 of 3654 results
Provider
QP80-18 Universal Pharmacy Policy for MHCP Subscribers - Immediate Release and Extended Release Opioids Initial Fill Limit
Program effective Date: Sep 24, 2018
Provider
QP26-18 Predetermination Request Form for Commercial Lines of Business
Program effective Date: Apr 19, 2018
Provider
QP47-17 Pharmacy Benefit Exclusion Mepsevii
Program effective Date: Dec 07, 2017
Provider
QP24-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Multiple Sclerosis (MS) Agents
Program effective Date: Apr 13, 2018
Provider
QP18-18 Medical Drug Exclusion Lists Expanded to Include Ixifi, Durolane, Visco 3 and TriVisc
Program effective Date: Mar 08, 2018
Provider
QP41-18 Addition of Drugs to the Self-Administered Oncology Prior Authorization with Quantity Limit Program
Program effective Date: Jun 06, 2018
Provider
QP33-17 ICD-10 Grouper Updates
Program effective Date: Oct 17, 2017
Provider
QP88-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization Criteria: Phenylketonuria
Program effective Date: Nov 14, 2018
Provider
QP3-17 Interpreter Services - Correct Unit of Service Billing
Program effective Date: Mar 01, 2017