Biologic Immunomodulators (For Pharmacy Benefits Only) - Medicaid

Prior Authorization, Quantity Limit

DPP-4 Inhibitors and Combinations - Medicaid

Step Therapy, Quantity Limit

Coverage Exception - Health Insurance Marketplace (HIM)

Coverage Exception

Coverage Exception - Commercial

Coverage Exception

Corticotropin - Commercial

တချုးတၢ်ဟ့ၣ်စိဟ့ၣ်ကမီၤ

Coagulation Factor VIIa - Commercial

Prior Authorization, Quantity Limit

Biologic Immunomodulators - FocusRx (For Pharmacy Benefits Only) - Commercial

Prior Authorization, Quantity Limit

Continuous Glucose Monitor (CGM) - Medicaid

Quantity Limit

Group Medicare Advantage 2025 Provider Directory

Medicare Advantage and Platinum Blue 2025 Part B Pharmacy Directory

Locations to fill certain outpatient drugs that are covered under the Medicare Part B plan benefit for certain Medicare Advantage (PPO) and Platinum Blue (Cost) plans.