Prior Authorization/Preferred Drug List (PA/PDL) for Glucagon-Like Peptide (GLP-1) Agents

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-00238 Prior Authorization Drug Attachment for Glucagon-Like Peptide (GLP-1) Agents July 1, 2020
PDF
None English
F-00238 Prior Authorization Drug Attachment for Glucagon-Like Peptide (GLP-1) Agents July 1, 2020
Word
None English
F-00238 Prior Authorization Drug Attachment for Glucagon-Like Peptide (GLP-1) Agents Instructions July 1, 2020
PDF
None English
Last Revised: July 1, 2020