Assigned number | Title | Release date Sort ascending | File type | Language | Available to order |
---|---|---|---|---|---|
F-02668 | Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable | 07/01/2020 | English | No | |
F-02668A | Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable Instructions | 07/01/2020 | English | No | |
F-02668 | Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable | 07/01/2020 | Word | English | No |
Last revised July 18, 2025