Prior Authorization / Preferred Drug List (PA/PDL) for Migraine Agents, Injectable

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00622 Completion Instructions (PDF, 34 KB) July 1, 2015
PDF
English
F-00622 Prior Authorization / Preferred Drug List (PA/PDL) for Migraine Agents, Injectable June 1, 2012
Word
English
F-00622 Prior Authorization / Preferred Drug List (PA/PDL) for Migraine Agents, Injectable (PDF, 2.7 MB) June 1, 2012
PDF
English
Last Revised: December 2, 2015