Directory Contents

Filename Type Size (bytes) Date Modified
Archive <Directory> <Directory> Apr 22 2024 12:40 PM
Drug Manufacturer Guidelines.pdf DRUG MANUFACTURER GUIDELINES.PDF File 70,104 Nov 21 2022 10:40 AM
Drug Manufacturer Meeting Request Form Fillable.pdf DRUG MANUFACTURER MEETING REQUEST FORM FILLABLE.PDF File 56,283 Nov 21 2022 10:40 AM
Fax Blasts <Directory> <Directory> Nov 22 2024 12:40 PM
Payer Sheets <Directory> <Directory> Nov 29 2024 10:01 AM
Physician Administered Drug List Review Request Form.pdf PHYSICIAN ADMINISTERED DRUG LIST REVIEW REQUEST FORM.PDF File 120,225 Sep 21 2022 8:47 AM
Ultra High Cost Drug Forms <Directory> <Directory> Sep 26 2024 12:54 PM
Utah Medicaid Cost of Dispensing Survey - 2023.pdf UTAH MEDICAID COST OF DISPENSING SURVEY - 2023.PDF File 1,349,331 Sep 19 2023 11:19 AM