Provider
P36-17 Addition of Drug to the Vesicular Monoamine Transporter 2 Inhibitors (VMAT2) Prior Authorization with Quantity Limit Program
Program effective Date: Jun 13, 2017
Program effective Date: Jun 13, 2017
Program effective Date: Nov 01, 2018
Program effective Date: Nov 14, 2017
Program effective Date: May 01, 2018
Program effective Date: Jun 01, 2018
Program effective Date: May 01, 2018
Program effective Date: Nov 13, 2017
Program effective Date: Nov 29, 2017
Program effective Date: Sep 04, 2018