| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-00162 | Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids | 07/01/2024 | English | No | |
| F-00162A | Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids Instructions | 07/01/2024 | English | No | |
| F-00162 | Prior Authorization Drug Attachment for Lipotropics, Omega-3 Acids | 07/01/2024 | Word | English | No |
Last revised September 16, 2025