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Gabapentin ER (extended-release) [Horizant, Gralise] - Commercial

Step Therapy, Quantity Limit

Fintepla (fenfluramine) - Commercial

Prior Authorization, Quantity Limit

Vijoice (alpelisib) - Commercial

Prior Authorization, Quantity Limit

Triptans - Commercial

Step Therapy, Quantity Limit

Pancreatic Enzymes - Commercial

Step Therapy

Benzodiazepines - Medicaid

Quantity Limit

Cannabidiol - Medicaid

Prior Authorization, Quantity Limit

Cannabidiol - Commercial

Prior Authorization, Quantity Limit

Continuous Glucose Monitor (CGM) - Commercial

Quantity Limit

2026 June Bulletins