| Assigned number | Title | Release date Sort ascending | Language | Available to order |
|---|---|---|---|---|
| F-01247A | Prior Authorization Drug Attachment for Hepatitis C Agents Instructions (PDF) | 07/01/2020 | English | No |
| F-01247 | Prior Authorization Drug Attachment for Hepatitis C Agents (Word) | 07/01/2020 | English | No |
| F-01247 | Prior Authorization Drug Attachment for Hepatitis C Agents (PDF) | 07/01/2020 | English | No |
Last revised July 12, 2026