| Assigned Number | Title | Release Date Sort ascending | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-00162 | Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids | 07/01/2024 | English | No | |
| F-00162A | Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids Instructions | 07/01/2024 | English | No | |
| F-00162 | Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids | 07/01/2024 | Word | English | No |
Last revised May 23, 2025