| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-02668 | Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable | July 1, 2020 |
Word
|
None | English |
| F-02668 | Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable | July 1, 2020 |
PDF
|
None | English |
| F-02668 | Prior Authorization/Preferred Drug List (PA/PDL) for Headache Agents, Triptans Non-Injectable Instructions | July 1, 2020 |
PDF
|
None | English |
Last Revised: July 1, 2020
