Bixiye
Oral NSAID (Nonsteroidal Anti-Inflammatory Drugs) - Commercial
Step Therapy
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Natiijooyinka Raadinta
Soo bandhiga 4081 - 4090 ee natiijooyinka 4132
Bixiye
Elagolix/Relugolix - Commercial
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Gabapentin ER (extended-release) [Horizant, Gralise] - Commercial
Step Therapy, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Dry Eye Disease - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Agamree (vamorolone), Emflaza (deflazacort) - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Weight Management - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Biologic Immunomodulators (For Pharmacy Benefits Only) - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Growth Hormone - Medicaid
Oggolaanshaha Hore
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Androgens and Anabolic Steroids - Medicaid
Prior Authorization, Quantity Limit
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026
Bixiye
Atopic Dermatitis (Elidel [pimecrolimus], Eucrisa, tacrolimus) - Medicaid
Step Therapy
Taariikhda uu dhaqangalayo Barnaamijka: Jan 01, 2026