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

Assigned Number Titlesort ascending Version Date Publication Type Other Location Language
F-00079 Effective for use before 07/01/2019: Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil Instructions January 1, 2019
PDF
English
F-00079 Effective for use before 07/01/2019: Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil January 1, 2019
Word
English
F-00079 Effective for use before 07/01/2019: Prior Authorization/Preferred Drug List (PA/PDL) for Armodafinil and Modafinil January 1, 2019
PDF
English
Last Revised: June 14, 2019

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