Assigned Number |
Title![]() |
Version Date | Publication Type | Other Location | Language |
---|---|---|---|---|---|
F-01749 | Effective for Use On or After July 1, 2016: Completion Instructions | July 1, 2016 |
PDF
|
None | 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
|
None | 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
|
None | English |
Last Revised: August 1, 2019