| Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-01430 | Prior Authorization Drug Attachment for Xyrem and Xywav | 12/01/2021 | English | No | |
| F-01430A | Prior Authorization Drug Attachment for Xyrem and Xywav, Instructions | 12/01/2021 | English | No | |
| F-01430 | Prior Authorization Drug Attachment for Xyrem and Xywav | 12/01/2021 | Word | English | No |
Last revised July 18, 2025