Bixiye
Agamree® (vamorolone), Emflaza® (deflazacort) - Commercial - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Dukumentiyadda & Foomamka Natiijooyinka
Soo bandhiga 581 - 590 ee natiijooyinka 3167
Bixiye
Xdemvy™ (lotilaner) - Commercial - Effective Date 02/01/2025
Step Therapy, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Xdemvy™ (lotilaner) - Medicaid - Effective Date 02/01/2025
Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Topical NSAIDs (Non-Steroidal Anti-Inflammatory Drug) - Medicaid - Effective Date 02/01/2025
Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Zoryve™ (roflumilast) - Commercial - Effective Date 02/01/2025
Prior Authorization
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Hyftor™ (sirolimus) - Commercial - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Zoryve™ (roflumilast) - Medicaid - Effective Date 02/01/2025
Prior Authorization
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Hyftor™ (sirolimus) - Medicaid - Effective Date 02/01/2025
Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Strensiq® (asfotase alfa) - Medicaid - Effective Date 02/01/2025
Prior Authorization
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Topical Estrogen - Medicaid - Effective Date 02/01/2025
Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025