Bixiye
Elagolix/Relugolix - Medicaid
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Dukumentiyadda & Foomamka Natiijooyinka
Soo bandhiga 171 - 180 ee natiijooyinka 3159
Bixiye
Elagolix/Relugolix - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Non-Preferred Drug with Continuation of Therapy - Medicaid
Prior Authorization
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Triptan - Medicaid
Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Topiramate ER - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Pulmonary Arterial Hypertension - Medicaid
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Pulmonary Arterial Hypertension - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Galafold (migalastat) - Medicaid
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Galafold (migalastat) - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Gabapentin ER (extended-release) [Horizant, Gralise] - Commercial
Step Therapy, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025