Bixiye
Topical Lidocaine - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Dukumentiyadda & Foomamka Natiijooyinka
Soo bandhiga 3441 - 3450 ee natiijooyinka 3562
Bixiye
Topical Lidocaine - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Topical Doxepin - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Topical Doxepin - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Topical Antifungals - itraconazole, terbinafine - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Topical Antifungals - itraconazole, terbinafine - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Topiramate ER - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Proton Pump Inhibitors (PPIs) - Commercial
Step Therapy, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Rayos - Commercial
Prior Authorization
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025
Bixiye
Sucraid (sacrosidase) - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Des 01, 2025