Assigned Number | Title Sort descending | Release Date | File Type | Language | Available to Order |
---|---|---|---|---|---|
F-01674 | Prior Authorization/Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Hidradenitis Suppurativa | 01/01/2017 | English | No | |
F-01674 | Prior Authorization/Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Hidradenitis Suppurativa | 01/01/2017 | Word | English | No |
F-01674A | Prior Authorization/Preferred Drug List (PA/PDL) for Cytokine and Cell Adhesion Molecule (CAM) Antagonist Drugs for Hidradenitis Suppurativa Completion Instructions | 01/01/2017 | English | No |
Last revised September 20, 2024