| Assigned Number | Title | Release Date Sort ascending | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-02433 | Prior Authorization/Preferred Drug List (PA/PDL) for Epidiolex | 04/01/2021 | English | No | |
| F-02433 | Prior Authorization/Preferred Drug List (PA/PDL) for Epidiolex | 04/01/2021 | Word | English | No |
| F-02433A | Prior Authorization/Preferred Drug List (PA/PDL) for Epidiolex, Instructions | 04/01/2021 | English | No |
Last revised May 12, 2025