Bixiye
Samsca (tolvaptan) - Medicaid
Prior Authorization, Quantity Limit
Taariikhda barnaamijka Dhaqangalayso Agosto 01, 2025
Dukumentiyadda & Foomamka Natiijooyinka
Soo bandhiga 3331 - 3340 ee natiijooyinka 3562
Bixiye
Hypoactive Sexual Desire Disorder (HSDD) - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Hyperhidrosis - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Mar 01, 2025
Bixiye
Fintepla - Medicaid
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Fintepla (fenfluramine) - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Cannabidiol - Medicaid
Prior Authorization
Taariikhda barnaamijka Dhaqangalayso Agosto 01, 2025
Bixiye
Cannabidiol - Commercial
Prior Authorization
Taariikhda barnaamijka Dhaqangalayso Agosto 01, 2025
Bixiye
Cablivi (caplacizumab-yhdp) - Medicaid
Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Cablivi (caplacixumab-yhdp) - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2025
Bixiye
Inhaled Antibiotics Duplicate Therapy - Commercial - Effective Date 03/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Mar 01, 2025