Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00079 Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil January 1, 2019
Word
English
F-00079 Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil January 1, 2019
PDF
English
F-00079 Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil Instructions January 1, 2019
PDF
English
Last Revised: January 10, 2019