| Assigned number | Title | Release date | File type | Language | Available to order |
|---|---|---|---|---|---|
| F-11034A | Prior Authorization/Physician-Administered Drug Attachment (PA/PAD) Instructions | 07/01/2022 | English | No | |
| F-11034 | Prior Authorization/Physician-Administered Drug Attachment (PA/PAD) | 07/01/2022 | English | No | |
| F-11034 | Prior Authorization/Physician-Administered Drug Attachment (PA/PAD) | 07/01/2022 | Word | English | No |
Last revised July 13, 2025