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Prior Authorization/Preferred Drug List (PA/PDL) for Growth Hormone Drugs

Assigned number Title Release date Language Available to order
F-11092 Prior Authorization/Preferred Drug List (PA/PDL) for Growth Hormone Drugs (PDF) 07/01/2024 English No
F-11092A Prior Authorization/Preferred Drug List (PA/PDL) for Growth Hormone Drugs Instructions (PDF) 07/01/2024 English No
F-11092 Prior Authorization/Preferred Drug List (PA/PDL) for Growth Hormone Drugs (Word) 07/01/2024 English No

Glossary

 
Last revised September 10, 2026