| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-00163 | Prior Authorization Drug Attachment for Weight Management Agents (Word) | 07/01/2026 | English | No |
| F-00163A | Prior Authorization Drug Attachment for Weight Management Agents Instructions (PDF) | 07/01/2026 | English | No |
| F-00163 | Prior Authorization Drug Attachment for Weight Management Agents (PDF) | 07/01/2026 | English | No |
Last revised September 4, 2026