Medications listed in the tables and non-FDA approved indications included in these retrospective criteria are not indicative of Vendor Drug Program formulary coverage.
- Revision history
- July 2022, June 2020; May 2018; Nov. 2015; Feb. 2014; June 2012; Oct. 2010; Sept. 2007; May 2007; Sept. 2006; Aug. 2006; Aug. 2003; Sept. 2002; Sept. 2001; Aug. 2000; Nov. 1999; Oct. 1999; Sept. 1999; Sept. 1998; Sept. 1997.
- Initially developed
- Oct. 1996