Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00081 Effective for use before 07/01/2018: Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine January 1, 2018
Word
English
F-00081 Effective for use before 07/01/2018: Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine January 1, 2018
PDF
English
F-00081 Effective for use before 07/01/2018: Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine Instructions January 1, 2018
PDF
English
F-00081 Effective for use on and after 07/01/2018: Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine July 1, 2018
Word
English
F-00081 Effective for use on and after 07/01/2018: Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine July 1, 2018
PDF
English
F-00081 Effective for use on and after 07/01/2018: Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine Instructions July 1, 2018
PDF
English
Last Revised: June 15, 2018