| Assigned Number | Title | Release Date | File Type | Language | Available to Order |
|---|---|---|---|---|---|
| F-01749 | Prior Authorization Drug Attachment for Hypoglycemics, Insulins Long-Acting | 07/01/2024 | English | No | |
| F-01749A | Prior Authorization Drug Attachment for Hypoglycemics, Insulins Long-Acting Instructions | 07/01/2024 | English | No | |
| F-01749 | Prior Authorization Drug Attachment for Hypoglycemics, Insulins Long-Acting | 07/01/2024 | Word | English | No |
Last revised July 5, 2025