| Assigned Number | Title | Release Date | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-00701 | Prior Authorization - Drug Attachment for Onabotulinumtoxin A (Botox®) to Treat Chronic Migraines | 08/23/2019 | English | No | |
| F-00701A | Prior Authorization - Drug Attachment for Onabotulinumtoxin A (Botox®) to Treat Chronic Migraines Completion Instructions | 08/01/2013 | English | No | |
| F-00701 | Prior Authorization - Drug Attachment for Onabotulinumtoxin A (Botox®) to Treat Chronic Migraines | 08/23/2019 | Word | English | No |
Last revised July 3, 2025