| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-01247A | Prior Authorization Drug Attachment for Hepatitis C Agents Instructions | 07/01/2020 | English | No | |
| F-01247 | Prior Authorization Drug Attachment for Hepatitis C Agents | 07/01/2020 | Word | English | No |
| F-01247 | Prior Authorization Drug Attachment for Hepatitis C Agents | 07/01/2020 | English | No |
Last revised July 22, 2025