Assigned Number | Title | Release Date | File Type | Language | Available to Order |
---|---|---|---|---|---|
F-02573 | Effective for use before 10/01/2024: Prior Authorization Drug Attachment for Wakix | 04/01/2021 | English | No | |
F-02573 | Effective for use before 10/01/2024: Prior Authorization Drug Attachment for Wakix | 04/01/2021 | Word | English | No |
F-02573A | Effective for use before 10/01/2024: Prior Authorization Drug Attachment for Wakix, Instructions | 04/01/2021 | English | No | |
F-02573 | Effective for use on and after 10/01/2024: Prior Authorization Drug Attachment for Wakix | 09/20/2024 | English | No | |
F-02573A | Effective for use on and after 10/01/2024: Prior Authorization Drug Attachment for Wakix, Instructions | 09/20/2024 | English | No | |
F-02573 | Effective for use on and after 10/01/2024: Prior Authorization Drug Attachment for Wakix | 09/20/2024 | Word | English | No |
Last revised September 21, 2024