Drug Information
Preferred Drug List (PDL) | DATE ADDED |
---|---|
|
07/07/2025 |
Prior Authorization (PA) Criteria | DATE ADDED |
---|---|
|
07/07/2025 |
|
07/01/2025 |
|
03/15/2025 |
Quantity Limits | DATE ADDED |
---|---|
|
07/07/2025 |
Other Drug Information | DATE ADDED |
---|---|
|
04/08/2022 |
|
06/30/2025 |
|
05/02/2025 |
|
02/11/2025 |
|
06/24/2025 |
|
06/24/2025 |
|
06/18/2025 |