Provider
QP87-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization with Quantity Limit Criteria: Lucemyra
Program effective Date: Nov 14, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Jun 11, 2018
Program effective Date: Mar 22, 2016
Program effective Date: Apr 05, 2018
Program effective Date: Jan 08, 2018
Program effective Date: Mar 26, 2018
Program effective Date: Jun 06, 2018
Program effective Date: Jul 27, 2016
Program effective Date: Feb 15, 2018
Program effective Date: Mar 01, 2018