| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-00622A | Prior Authorization/Preferred Drug List (PA/PDL) for Migraine Agents, Injectable Completion Instructions | 07/01/2015 | English | No | |
| F-00622 | Prior Authorization / Preferred Drug List (PA/PDL) for Migraine Agents, Injectable | 06/01/2012 | English | No |
Last revised July 13, 2025