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

Assigned Number	Title	Version Date	Publication Type	Other Location	Language
F-00081	Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine	July 1, 2020	PDF	None	English
F-00081	Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine	July 1, 2020	Word	None	English
F-00081	Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine Instructions	July 1, 2020	PDF	None	English

Last Revised: July 1, 2020