Provider
Oral NSAID (Nonsteroidal Anti-Inflammatory Drugs) - Commercial
Step Therapy
Program effective Date: Oct 01, 2025
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Displaying 3811 - 3820 of 4180 results
Provider
Oral Anticoagulant - Commercial
Quantity Limit
Program effective Date: Oct 01, 2025
Provider
Multiple Sclerosis Agents - Medicaid
Prior Authorization, Quantity Limit
Program effective Date: May 01, 2025
Provider
Multiple Sclerosis Agents - Commercial
Step Therapy, Quantity Limit
Program effective Date: May 01, 2025
Provider
Metformin ER - Commercial
Step Therapy, Quantity Limit
Program effective Date: May 01, 2025
Provider
Hepatitis C Direct Acting Antivirals - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2025
Provider
Glucose Test Strips and Meters - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Glucagon-like Peptide-1 (GLP-1) Agonists - Medicaid
Step Therapy, Quantity Limit
Program effective Date: Oct 15, 2025
Provider
DPP-4 Inhibitors and Combinations - Medicaid
Step Therapy, Quantity Limit
Program effective Date: Jul 01, 2025
Provider
Dipeptidyl Peptidase-4 (DPP-4) Inhibitors and Combinations - Commercial
Step Therapy, Quantity Limit
Program effective Date: Oct 01, 2025