| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-02433 | Prior Authorization/Preferred Drug List (PA/PDL) for Epidiolex | April 1, 2021 |
Word
|
None | English |
| F-02433 | Prior Authorization/Preferred Drug List (PA/PDL) for Epidiolex | April 1, 2021 |
PDF
|
None | English |
| F-02433 | Prior Authorization/Preferred Drug List (PA/PDL) for Epidiolex, Instructions | April 1, 2021 |
PDF
|
None | English |
Last Revised: June 15, 2022
