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

Assigned Number Title Release Date File Type Language Available to Order
F-00081 Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine 01/01/2024 PDF English No
F-00081 Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine 01/01/2024 Word English No
F-00081A Prior Authorization/Preferred Drug List (PA/PDL) for Opioid Dependency Agents – Buprenorphine, Instructions 01/01/2024 PDF English No
Last revised April 18, 2024