Prior Authorization / Preferred Drug List (PA/PDL) for Hypoglycemics, Insulin – Long-Acting

Assigned Number Titlesort descending Version Date Publication Type Other Location Language
F-01749 Effective for Use On or After July 1, 2016: Completion Instructions July 1, 2016
PDF
English
F-01749 Effective for Use On or After July 1, 2016: Prior Authorization / Preferred Drug List (PA/PDL) for Hypoglycemics, Insulin – Long-Acting July 1, 2016
Word
English
F-01749 Effective for Use On or After July 1, 2016: Prior Authorization / Preferred Drug List (PA/PDL) for Hypoglycemics, Insulin – Long-Acting July 1, 2016
PDF
English
Last Revised: February 14, 2018