| Assigned Number | Title | Release Date | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-00239 | Prior Authorization / Drug Attachment for Blood Glucose Meters and Test Strips | 12/01/2013 | English | No | |
| F-00239 | Prior Authorization / Drug Attachment for Blood Glucose Meters and Test Strips | 12/01/2013 | Word | English | No |
| F-00239A | Prior Authorization / Drug Attachment for Blood Glucose Meters and Test Strips Completion Instructions | 07/01/2015 | English | No |
Last revised September 23, 2024