| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-11305 | Prior Authorization / Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Crohn's Disease | January 1, 2016 |
PDF
|
None | English |
| F-11305 | Completion Instructions | January 1, 2016 |
PDF
|
None | English |
Last Revised: September 9, 2019
