Provider
P50-16 Addition of a Drug (Xiidra) to the Ophthalmic Immunomodulators Prior Authorization with Quantity Limit Program
Program effective Date: Oct 28, 2016
Program effective Date: Oct 28, 2016
Program effective Date: Oct 27, 2016
Program effective Date: Oct 26, 2016
Program effective Date: Oct 26, 2016
Program effective Date: Oct 14, 2016
Program effective Date: Oct 12, 2016
Program effective Date: Oct 10, 2016
Program effective Date: Sep 30, 2016
Program effective Date: Sep 22, 2016
Program effective Date: Sep 20, 2016