Provider
P25-17 Addition of New Drugs to the Hepatitis C Second Generation Antivirals Prior Authorization (PA) with Quantity Limit (QL) Program
Program effective Date: May 25, 2017
Program effective Date: May 25, 2017
Program effective Date: May 25, 2017
Program effective Date: May 25, 2017
Program effective Date: May 23, 2017
Program effective Date: May 18, 2017
Program effective Date: May 16, 2017
Program effective Date: May 15, 2017
Program effective Date: May 10, 2017
Program effective Date: May 09, 2017
Program effective Date: May 08, 2017