Provider
Benzodiazepines - Medicaid
Quantity Limit
Program effective Date: Jun 01, 2025
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Displaying 3851 - 3860 of 4180 results
Provider
Buprenorphine, Buprenorphine/Naloxone for Opioid Dependence - Medicaid
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Ketorolac - Medicaid
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Pain Medications - Commercial
Quantity Limit
Program effective Date: Apr 01, 2025
Provider
Ketorolac - Commercial
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Buprenorphine, Buprenorphine/Naloxone for Opioid Dependence - Commercial
Quantity Limit
Program effective Date: Mar 01, 2025
Provider
Strensiq (asfotase alfa) - Medicaid
Prior Authorization
Program effective Date: Feb 01, 2025
Provider
GLP-1 (glucagon-like peptide-1) Agonists - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Oct 01, 2025
Provider
Topical Estrogen - Medicaid
Quantity Limit
Program effective Date: Feb 01, 2025
Provider
Radicava (edaravone) - Commercial
Prior Authorization, Quantity Limit
Program effective Date: Jul 01, 2025