Prior Authorization/Preferred Drug List (PA/PDL) for Glucagon-Like Peptide (GLP-1) Agents

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00238 Instructions July 1, 2017
PDF
English
F-00238 PDF July 1, 2017
PDF
English
F-00238 Word July 1, 2017
Word
English
Last Revised: July 5, 2017