Bixiye
Gabapentin ER (extended-release) [Horizant, Gralise] - Commercial
Step Therapy, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Natiijooyinka Raadinta
Soo bandhiga 4271 - 4280 ee natiijooyinka 4294
Bixiye
Fintepla (fenfluramine) - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Vijoice (alpelisib) - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Triptans - Commercial
Step Therapy, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Pancreatic Enzymes - Commercial
Step Therapy
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Benzodiazepines - Medicaid
Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Cannabidiol - Medicaid
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Cannabidiol - Commercial
Prior Authorization, Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Glucose Test Strips and Meters - Commercial
Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026
Bixiye
Continuous Glucose Monitor (CGM) - Commercial
Quantity Limit
Taariikhda wax ku ool ah ee barnaamijka: Jun 01, 2026