| Assigned Number |
Title |
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
|
None | 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
|
None | 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
|
None | English |
Last Revised: June 14, 2019
