Bixiye
Radicava (edaravone) - Medicaid
Prior Authorization, Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Natiijooyinka Raadinta
Soo bandhiga 3621 - 3630 ee natiijooyinka 3669
Bixiye
Self-Administered Oncology Agents - Commercial
Prior Authorization, Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Oral NSAID (Nonsteroidal Anti-Inflammatory Drugs) - Commercial
Step Therapy
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Oral Anticoagulant - Commercial
Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Self-Administered Oncology Agents - Medicaid
Prior Authorization, Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Oral Tetracycline Derivatives - Commercial
Oggolaanshaha Hore
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Selective Serotonin Inverse Agonist (SSIA) - Commercial
Prior Authorization, Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Opioid Concurrent Opioid Dependence Therapy - Medicaid
Oggolaanshaha Hore
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Low Molecular Weight Heparins (LMWH) and Arixtra - Commercial
Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025
Bixiye
Insomnia Agents - Medicaid
Quantity Limit
Taariikhda dhaqangalka Barnaamijka: Jul 01, 2025