Prior Authorization/Preferred Drug List (PA/PDL) for Orexin Receptor Antagonists

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-01673 Prior Authorization/Preferred Drug List (PA/PDL) for Orexin Receptor Antagonists April 1, 2022
Word
English
F-01673 Prior Authorization/Preferred Drug List (PA/PDL) for Orexin Receptor Antagonists April 1, 2022
PDF
English
F-01673 Prior Authorization/Preferred Drug List (PA/PDL) for Orexin Receptor Antagonists, Instructions April 1, 2022
PDF
English
Last Revised: June 15, 2022