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 Instructions July 1, 2017
PDF
English
F-00081 PDF July 1, 2017
PDF
English
F-00081 Word July 1, 2017
Word
English
Last Revised: July 5, 2017