| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-11097 | Prior Authorization / Preferred Drug List (PA/PDL) for Stimulants and Related Agents | 09/10/2019 | English | No | |
| F-11097 | Prior Authorization / Preferred Drug List (PA/PDL) for Stimulants and Related Agents | 09/10/2019 | Word | English | No |
| F-11097A | Prior Authorization / Preferred Drug List (PA/PDL) for Stimulants and Related Agents: Completion Instructions | 07/01/2015 | English | No |
Last revised March 28, 2026