Provider
P35-17 Addition of Drug to the Substance Reduction Therapy Prior Authorization with Quantity Limit Program
Program effective Date: Jun 13, 2017
Program effective Date: Jun 13, 2017
Program effective Date: Sep 25, 2017
Program effective Date: Apr 04, 2017
Program effective Date: Dec 07, 2017
Program effective Date: Jan 09, 2018
Program effective Date: May 01, 2018
Program effective Date: May 25, 2017
Program effective Date: Jun 12, 2017
Program effective Date: Nov 17, 2017
Program effective Date: Nov 28, 2017