Bixiye
Biologic Immunomodulators - BasicRx (For Pharmacy Benefits Only) - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Dukumentiyadda & Foomamka Natiijooyinka
Soo bandhiga 3471 - 3480 ee natiijooyinka 3562
Bixiye
Agamree (vamorolone), Emflaza (deflazacort) - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Afrezza (regular human insulin, inhaled) - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Atopic Dermatitis (Elidel [pimecrolimus], Eucrisa, tacrolimus) - Commercial
Step Therapy
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Antidepressant Agents - Commercial
Step Therapy, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Alternative Dosage Form - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Biologic Immunomodulators - FlexRx GenRx KeyRx (For Pharmacy Benefits Only) - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Weight Management - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Coverage Exception - NetResults (Key Rx and Focus Rx)
Coverage Exception
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Coverage Exception - Health Insurance Marketplace (HIM)
Coverage Exception
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026