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Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents

Assigned Number	Title	Release Date	File Type	Language	Available to Order
F-00238	Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents	07/01/2023	Word	English	No
F-00238A	Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents, Instructions	07/01/2023	PDF	English	No
F-00238	Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents	07/01/2023	PDF	English	No

Last revised April 18, 2024