Drug Information
Preferred Drug List (PDL) | DATE ADDED |
---|---|
|
05/07/2025 |
Prior Authorization (PA) Criteria | DATE ADDED |
---|---|
|
05/07/2025 |
|
05/01/2025 |
|
03/15/2025 |
Quantity Limits | DATE ADDED |
---|---|
|
05/07/2025 |
Other Drug Information | DATE ADDED |
---|---|
|
04/08/2022 |
|
04/28/2025 |
|
05/02/2025 |
|
02/11/2025 |
|
03/19/2025 |
|
03/18/2025 |