Provider
P14-16 Addition of Lazanda ® to Existing Drug-Related Prior Authorization with Quantity Limit Program
Program effective Date: Mar 29, 2016
Program effective Date: Mar 29, 2016
Program effective Date: Oct 27, 2016
Program effective Date: Jun 01, 2016
Program effective Date: Jan 27, 2016
Program effective Date: Feb 08, 2017
Program effective Date: Feb 08, 2016
Program effective Date: Aug 09, 2016
Program effective Date: Jun 07, 2016
Program effective Date: Mar 06, 2017
Program effective Date: May 16, 2016