| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-02572 | Prior Authorization/Preferred Drug List (PA/PDL) for Immunomodulators, Atopic Dermatitis – Topical | 01/01/2025 | Word | English | No |
| F-02572 | Prior Authorization/Preferred Drug List (PA/PDL) for Immunomodulators, Atopic Dermatitis – Topical | 01/01/2025 | English | No | |
| F-02572A | Prior Authorization/Preferred Drug List (PA/PDL) for Immunomodulators, Atopic Dermatitis – Topical Instructions | 01/01/2025 | English | No |
Last revised September 7, 2025