| Assigned Number | Title | Release Date | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-11097 | Prior Authorization / Preferred Drug List (PA/PDL) for Stimulants and Related Agents | 09/10/2019 | English | No | |
| F-11097 | Prior Authorization / Preferred Drug List (PA/PDL) for Stimulants and Related Agents | 09/10/2019 | Word | English | No |
| F-11097A | Prior Authorization / Preferred Drug List (PA/PDL) for Stimulants and Related Agents: Completion Instructions | 07/01/2015 | English | No |
Last revised September 25, 2024