Provider
QP82-18 Pharmacy Benefit Exclusion for Azedra (iobenguane I 131) Intravenous Injection
Program effective Date: Sep 28, 2018
Program effective Date: Sep 28, 2018
Program effective Date: Nov 14, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Nov 07, 2017
Program effective Date: Oct 11, 2018
Program effective Date: Nov 28, 2018
Program effective Date: Aug 21, 2018
Program effective Date: Jul 20, 2017
Program effective Date: Aug 08, 2017
Program effective Date: Aug 21, 2018