Prior Authorization / Preferred Drug List (PA/PDL) for Fentanyl Mucosal Agents

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00281 Completion Instructions (PDF, 34 KB) July 1, 2015
PDF
English
F-00281 Prior Authorization / Preferred Drug List (PA/PDL) for Fentanyl Mucosal Agents July 1, 2013
Word
English
F-00281 Prior Authorization / Preferred Drug List (PA/PDL) for Fentanyl Mucosal Agents (PDF, 1316 KB) July 1, 2013
PDF
English
Last Revised: December 1, 2015