Provider
QP65-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization with Quantity Limit Criteria: Jynarque (tolvapin)
Program effective Date: Aug 21, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Jun 25, 2018
Program effective Date: Mar 16, 2017
Program effective Date: Oct 31, 2016
Program effective Date: Nov 01, 2016
Program effective Date: Dec 13, 2016
Program effective Date: Aug 22, 2017
Program effective Date: Nov 18, 2016
Program effective Date: Apr 25, 2018
Program effective Date: Mar 28, 2018