| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-00079 | Prior Authorization Drug Attachment for Modafinil and Nuvigil® | January 1, 2018 |
Word
|
None | English |
| F-00079 | Prior Authorization Drug Attachment for Modafinil and Nuvigil® | January 1, 2018 |
PDF
|
None | English |
| F-00079 | Instructions | January 1, 2018 |
PDF
|
None | English |
Last Revised: January 3, 2018
