Provider
QP25-18 Pharmacy Benefit Update - New Drug-Related Prior Authorization (PA) with Quantity Limit (QL) Criteria: Samsca (tolvaptan)
Program effective Date: Apr 19, 2018
Program effective Date: Apr 19, 2018
Program effective Date: Apr 13, 2018
Program effective Date: Apr 13, 2018
Program effective Date: Apr 05, 2018
Program effective Date: Apr 02, 2018
Program effective Date: Apr 02, 2018
Program effective Date: Apr 02, 2018
Program effective Date: Apr 02, 2018
Program effective Date: Apr 02, 2018
Program effective Date: Mar 28, 2018