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Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable

Assigned Number	Title Sort descending	Release Date	File Type	Language	Available to Order
F-02668	Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable	07/01/2020	PDF	English	No
F-02668	Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable	07/01/2020	Word	English	No
F-02668A	Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable Instructions	07/01/2020	PDF	English	No

Last revised April 19, 2024