Provider
Atypical Antipsychotics - Extended Maintenance Agents - Medicaid
Quantity Limit
Program effective Date: Jul 01, 2025
Search Results
Displaying 3831 - 3840 of 4180 results
Provider
Insomnia Agents - Medicaid
Quantity Limit
Program effective Date: Jul 01, 2025
Provider
Gabapentin ER (extended-release) - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Selective Serotonin Inverse Agonist (SSIA) - Medicaid
Quantity Limit
Program effective Date: Jul 01, 2025
Provider
Low Molecular Weight Heparins (LMWH) and Arixtra - Medicaid
Quantity Limit
Program effective Date: Jul 01, 2025
Provider
Lyrica and Savella - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
Provider
Tezspire (tezepelumab-ekko) - Commercial
Prior Authorization, Quantity Limit
Program effective Date: May 01, 2025
Provider
Long Acting Insulin - Commercial
Quantity Limit
Program effective Date: May 01, 2025
Provider
Afrezza - Medicaid
Quantity Limit
Program effective Date: May 01, 2025
Provider
Hyftor (sirolimus) - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Feb 01, 2025