Provider
P44-16 Addition of a Drug (Viekira XR) to the Hepatitis C Second Generation Prior Authorization with Quantity Limit Program
Program effective Date: Sep 01, 2016
Program effective Date: Sep 01, 2016
Program effective Date: Aug 23, 2017
Program effective Date: Jul 27, 2016
Program effective Date: Dec 13, 2016
Program effective Date: Aug 03, 2016
Program effective Date: Aug 03, 2016
Program effective Date: Dec 05, 2016
Program effective Date: Dec 05, 2016
Program effective Date: Nov 22, 2016
Program effective Date: Aug 03, 2016