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 Completion Instructions January 3, 2020
PDF
English
F-00081 Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine July 1, 2019
Word
English
F-00081 Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine July 1, 2019
PDF
English
F-00081 Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine Instructions July 1, 2019
PDF
English
Last Revised: January 3, 2020