Políticas de cobertura médica y de farmacia

Fecha de vigencia	Policy Name	Reviewed Date
12/19/2018	Qbrexza® (glycopyrronium)	9/21/2022
1/20/2021	Qdolo™ (tramadol) oral solution	10/19/2022
5/19/2021	Qelbree™ (viloxazine)	5/17/2023
5/19/2021	Qelbree™ (viloxazine)	7/20/2022
7/8/2020	Qinlock™ (ripretinib)	5/17/2023
1/1/2014	Qualaquin® (quinine sulfate)	1/18/2023
1/1/2017	Quantity Limitation	12/15/2021
1/1/2020	Qudexy XR®, Trokendi XR® (topiramate) extended-release capsules	12/14/2022
10/20/2021	Qulipta™ (atogepant)	3/23/2023
9/1/2022	Qulipta™ (atogepant)	5/18/2023
3/4/2010	Qutenza® (capsaicin) 8% patch	7/20/2022
7/27/2022	Quviviq™ (daridorexant)	7/20/2022

Políticas de cobertura de farmacia