BC-MHCP-Pharm-Prog-Policy-Notifctn-Effective-1-1-26.pdf
Program effective Date: Jun 11, 2024
Prior Authorization, Quantity Limit
Program effective Date: Apr 01, 2025
Prior Authorization, Quantity Limit
Program effective Date: Oct 15, 2025
Prior Authorization, Quantity Limit
Program effective Date: Apr 01, 2025