Provider
P9-16 New Drug-Related Prior Authorization with Quantity Limit Criteria for Juxtapid and Kynamro
Program effective Date: Feb 08, 2016
Program effective Date: Feb 08, 2016
Program effective Date: Jul 26, 2016
Program effective Date: Jan 04, 2016
Program effective Date: Jan 08, 2016
Program effective Date: Nov 15, 2016
Program effective Date: Apr 27, 2016
Program effective Date: May 09, 2016
Program effective Date: Jan 04, 2016
Program effective Date: Jun 20, 2016
Program effective Date: Mar 14, 2017