Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
---|---|---|---|---|---|
F-01672A | Prior Authorization/Preferred Drug List (PA/PDL) for Non-Preferred Stimulants, Instructions | 01/01/2022 | English | No | |
F-01672 | Prior Authorization/Preferred Drug List (PA/PDL) for Non-Preferred Stimulants | 01/01/2017 | English | No | |
F-01672 | Prior Authorization/Preferred Drug List (PA/PDL) for Non-Preferred Stimulants | 01/01/2017 | Word | English | No |
Last revised September 7, 2025