Bixiye
Myalept® (metreleptin) - Commercial - Effective Date 02/01/2025
Prior Authorization
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Dukumentiyadda & Foomamka Natiijooyinka
Soo bandhiga 611 - 620 ee natiijooyinka 3167
Bixiye
Topical NSAID (Non-Steroidal Anti-Inflammatory Drug) - Commercial - Effective Date 02/01/2025
Step Therapy, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Corticotropin - Medicaid - Effective Date 02/01/2025
Prior Authorization
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Atopic Dermatitis (Elidel®, Eucrisa™, Protopic®, tacrolimus) - Medicaid - Effective Date 02/01/2025
Step Therapy
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Atopic Dermatitis (Elidel®, Eucrisa™, Protopic®, tacrolimus) - Commercial - Effective Date 02/01/2025
Step Therapy
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Korlym™(mifepristone) - Commercial - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Proprotein Convertase Subtilisin/kexin type 9 (PCSK9) Inhibitors - Medicaid - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Proprotein Convertase Subtilisin/kexin type 9 (PCSK9) Inhibitors - Commercial - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Ohtuvayre™ - Medicaid - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025
Bixiye
Ohtuvayre™ - Commercial - Effective Date 02/01/2025
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: 01, Feb 2025