NC Medicaid and Health Choice Preferred Drug List (PDL) effective Jan. 1, 2020 New York Medicaid Medicaid-Approved Preferred Drug List. DO: Dose Optimization Program . Montana Medicaid Preferred Drug List (PDL) Revised October 28, 2020 *Indicates a generic is available without prior authorization This list may not include all available generic formulations listed specifically by name Note: Brand Named Drugs are capitalized, generic drugs start with lower case letters. Our lock-in program assigns members to a specific pharmacy and prescriber provider. Archived Web Announcements; Documents. Preferred Drug List (PDL) The Alabama Medicaid Agency preferred drug list is determined by decisions made by the Medicaid Pharmacy and Therapeutics (P&T) Committee which is required by state law to advise and assist the agency in the development of a drug plan. <> The quarterly P&T Committee meeting was held on September 18, 2020. Open the attached list and use the Adobe Acrobat search tool to locate specific drugs by name or HIC3 therapeutic class. North Carolina Division of Health Benefits North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: December 1, 2020 Trial and failure of two Preferred drugs are required unless only one Preferred option is listed or is otherwise indicated. Facilitator, Blake Cook, NC Medicaid Outpatient Pharmacy Interim Pharmacy Director began the meeting by welcoming attendees to the … December 2019 . Virginia Medicaid’s Preferred Drug List (PDL)/Common Core Formulary 7/1/20 3 | P a g e *Methadone Drugs Dolophine® Methadose® oral soln & tab methadone oral soln & tab *Methadone requires the completion of the Clinical SA form (Methadone SA Form) unless prescribed for neonatal abstinence syndrome for an infant under the age of one. Providers. Telephone. Nebraska Medicaid program PDL. No Copayment for Pregnant NC Medicaid Beneficiaries for Covered Prescription Drugs; Preferred Brands with Non-Preferred Generics on the Preferred Drug List (PDL) (Current as of September 25, 2020) Providers are encouraged to review this important information. Home | UAC | Reference | Site Map. Legend . This list is updated regularly. 2021 WellCare Drug List (Formulary) Search Tool. Version 2020.1 . Apple Health PDL 10/23/2020 - 10/29/2020; Apple Health PDL 10/16/2020 - 10/22/2020; Apple Health PDL 10/9/2020 - 10/15/2020; Apple Health PDL 10/1/2020 - 10/8/2020; View all Apple Health PDLs. endobj Idaho Medicaid Preferred Drug List with Prior Authorization Criteria. Perform the search via the following steps: Search for a Drug … PDL Updated January 1, 2020. NC Medicaid Opioid Safety STOP Act Crosswalk (PDF, 319 KB) FAQ on Naloxone Standing Order (PDF, 251 KB) Provider Considerations for Tapering of Opioids (PDF, 221 KB) Preferred Drug List Opioid Analgesics and Combination Therapy Daily MME (PDF, 389 KB) General Provider Pharmacy Cover Letter - STOP Act (PDF, 137 KB) Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) • The PDL is a list of over 100 therapeutic classes reviewed by the Pharmaceutical & Therapeutics (P&T) committee. 2020 Preferred Drug List Humana Medical Plan All Regions PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. The. Get email alerts on latest news and upcoming events. The Ohio Department of Medicaid is implementing a Unified Preferred Drug List (UPDL) on January 1st, 2020 that will encompass the entire Medicaid population regardless of enrollment in Managed Care or Fee for Service (FFS). Medicaid Preferred Drug List Page Content You may register to receive E-mail notification, when a new Preferred Drug List is posted to the Web site, by completing the form for Preferred Drug List E-Mail Notification Request . Published By: Medical Services Division. Highlights indicated change from previous posting. We’re committed to quality. Preferred Drug List – Idaho Health and Welfare. Preferred Drug List (PDL). BRAND PREFFERED (DX CODE REQ)ADAPALENE DIHYDROERGOTAMINE 4 MG/ML SPRY (NASAL) DILTAIZEM 24HR ER CAPSULE (not TABLET) (ORAL) DILTIAZEM 12HR ER CAPSULE (ORAL) DILTIAZEM TABLET (ORAL) Updated October 1, 2020 4 of 16. <>/Metadata 3184 0 R/ViewerPreferences 3185 0 R>> Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) • The PDL is a list of over 100 therapeutic classes reviewed by the Pharmaceutical & Therapeutics (P&T) committee. Over-the-counter medications and products. 3 0 obj To get drugs not on the Preferred Drug List, your provider will need to get prior authorization from Health First Colorado. Effective: January 1, 2020 4 0 obj Generic drug: Lowercase in plain type . 201 W. Preston Street, Baltimore, MD 21201-2399 (410) 767-6500 or 1-877-463-3464 Medicaid Formulary (Drug List) 2020.A formulary is a list of covered drugs.The Medicaid formulary is a useful reference to assist practitioners in selecting clinically appropriate and cost-effective drug therapies.Medicaid Formulary Updates. PREFERRED NON-PREFERRED. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC NC Medicaid would like to share information about recent FDA guidance regarding REMS requirements during the COVID-19 public health emergency. Drug List (PDL) / Common Core Formulary QuickList Effective January 1, 2020 General Information: • Virginia Medicaid’s Preferred Drug List (PDL) only includes select drug classes • PDL preferred drugs do not require Service Authorizations (SA) unless subject to additional clinical criteria (e.g., long acting opioids, hepatitis C therapies, DO: Dose Optimization Program . Find out more. �Ĭ�������'��ᚎ�nZ��Id$�)I����t粁4�;�������.���� Preferred Drug List - Effective 12/01/2020 Information Disclaimer Medicaid Fee for Service Outpatient Pharmacy Program represents the preferred and non-preferred drug products as well as drugs requiring prior approval, quantity level limits, and therapy limits. The WellCare Drug List (Formulary) tool allows you to search prescription drug names to determine 2021 plan coverage for your formulary. Our lock-in program assigns members to a specific pharmacy and prescriber provider. In addition, there are medications and/or classes of medications that are not reviewed by the committee. Please see … Drug List by the + symbol. donepezil 5mg, 10mg tablet/ODT (generic for Aricept®/ ODT) Aricept®Tablet Exelon®Patch donepezil 23mg tablet (generic for Aricept®) memantine tablet/titration pack (generic for Namenda®) galantamine ER capsule / solution / tablet … January 2020 North Carolina State Health Plan Preferred Drug List - Traditional Pharmacy Benefit. NC Medicaid (Division of Health Benefits) is dedicated to providing access to physical and behavioral health care and services to improve the health and well-being of over 2.1 million North Carolinians on behalf of the North Carolina Department of Health and Human Services. Find out more. endobj (PDL) effective March 1, 2020 PDF • 684.34 KB Download PDL_February_1_2020.pdf NC Medicaid and Health Choice Preferred Drug List SPECIAL BULLETIN: UPDATE on NC Medicaid Temporary Flexibilities due to Hurricane Dorian Preferred Drug List (PDL) & Prior Authorization Criteria . Details: Florida Medicaid Preferred Drug List (effective 10-01-2020) The Florida Medicaid Preferred Drug List (PDL) is subject to revision following consideration and recommendations by the Pharmaceutical and Therapeutics (P&T) Committee and the Agency for Health Care Administration. Brand name drug: Uppercase in bold type . OFLOXACIN … The PDL was authorized by the NC General Assembly Session Law 2009-451, Sections 10.66(a)-(d). No Copayment for Pregnant NC Medicaid Beneficiaries for Covered Prescription Drugs; Preferred Brands with Non-Preferred Generics on the Preferred Drug List (PDL) (Current as of September 25, 2020) Providers are encouraged to review this important information. Details: The Ohio Department of Medicaid is implementing a Unified Preferred Drug List (UPDL) on January 1st, 2020 that will encompass the entire Medicaid population regardless of enrollment in Managed Care or Fee for Service (FFS). 600 E Boulevard Ave Dept 325. 2 Preferred Drug List What is the Preferred Drug List? v The Drug List (formulary) may change on January 1 of each year, and from time to time … Drug Plan. The … Covered (BadgerCare Plus and Medicaid) (Effective 1/1/2018) 2020 LIST OF COVERED DRUGS (FORMULARY) Health Details: v UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program.Enrollment in the plan depends on the plan’s contract renewal with Medicare. Friday, March 27, 2020 Preferred Drug List (PDL) Update Effective March 25, 2020, due to drug shortages in the marketplace, the NC Medicaid and NC Health Choice PDL Category of “Respiratory: Beta-Adrenergic Handheld, Short Acting” has changed to the following: Welcome to the Nebraska Medicaid program Web site. v The Drug List (formulary) may change on January 1 of each year, and from time to time during the plan year. Not all … Drug Plan. 2020 Preferred Drug List (PDL) - November 2020. Florida Medicaid Preferred Drug List (effective 10-01-2020) The Florida Medicaid Preferred Drug List (PDL) is subject to revision following consideration and recommendations by the Pharmaceutical and Therapeutics (P&T) Committee and the Agency for Health Care Administration. �6")T�k3w�W.�˭vF��1�Y��~%��� '�p�.J�7Ge�i�Ho���� JUJ2IgM��P�&��0�����+�[�B� �`W�����S����CP�[���p�jr�{,�K|����@áT�v��P��R'. Note: cefdinir cap/susp (generic for Omnicef cap/susp®) cefditoren (generic for Spectracef®) cefixime cap/susp (generic for Suprax®) cefpodoxime (generic for Vantin®) Suprax chew/tab®. This complete list of prescription drugs covered by your plan is current as of September 1, 2019. Alphabetical by drug name - Posted 12/02/20. Preferred Drug List (PDL). Preferred Drug List (PDL) & Prior Authorization Criteria . Alphabetical by drug name - Posted 11/02/20. Preferred Brands with Non-preferred Generics on the Preferred Drug List (PDL) Providers are encouraged to review this important information. The NC Medicaid Preferred Drug List (PDL) allows NC Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates. Medicaid Formulary (Drug List) 2020.A formulary is a list of covered drugs.The Medicaid formulary is a useful reference to assist practitioners in selecting clinically appropriate and cost-effective drug therapies.Medicaid Formulary Updates. View the NC Medicaid PDL to find a covered medicine. I. Please note that the South Carolina Medicaid Preferred Drug List is updated quarterly. AmeriHealth Caritas North Carolina covers certain over-the-counter medications and products. South Carolina Medicaid Comprehensive Preferred Drug List (List of Covered Drugs) WellCare of South Carolina 00 Please read: This document contains information about the drugs we cover in this plan. SPECIAL BULLETIN COVID-19 #24: NC Medicaid Cost Report Filing Extensions Due to COVID-19 SPECIAL BULLETIN COVID-19 #25: Emergency Update to NC Medicaid and NC Health Choice Preferred Drug List (PDL) and REMS Program Flexibilities stream Through our combined efforts we ensure that our members continue to trust us to help them in their quest to lead longer and more satisfying lives. North Carolina Division of Health Benefits North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: February 1, 2020 T. Preferred Non-Preferred. THIS FORMULARY WAS UPDATED ON 11/05/2020. NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES 2020 PREFERRED DRUG LIST REVIEW PANEL MEETING WEDNESDAY JULY 15, 2020 1:00PM- 5:00PM VIRTUAL ONLINE MEETING PLATFORM. Stay up to date with us. Alphabetical by drug therapeutic class - Posted 12/02/20 North Carolina Division of Health Benefits North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: September 1, 2020 T. Preferred Non-Preferred. Please read the first page for important additional information. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) December 2020 Essential 6 Tier Formulary III The FDA is responsible for approving medications for use based on clinical data proving the medication is safe and effective for that specific use. Our contact information is on the cover. If you have additional questions about the PDL program, you may contact Medicaid Client Services at (800) 852-3345, ext. 2020 Preferred Drug List Humana Medical Plan All Regions PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. 2 Preferred Drug List What is the Preferred Drug List? Revised 12/22/2020: Preferred Drug List Quick Reference (Effective 1/1/2021) Diabetic Supply List Quick Reference (Effective 10/1/2020) Over-the-Counter Drugs. Prescribers are encouraged to write prescriptions for “preferred” products. Pharmacy Lock-in Program. Pharmacy Lock-in Program. Silver State Scripts Board Makes Changes to Preferred Drug List (PDL) Effective June 1, 2020 Jan. 2, 2020 Silver State Scripts Board Makes Changes to Preferred Drug List (PDL) Effective January 1, 2020 This drug list has changed since last … Medicaid List of Covered Drugs (Formulary) 2020 ... cover the drugs listed in the list of covered drugs as long as the drug is medically necessary, the prescription is filled at a HealthPartners network pharmacy and other require ments related to the drug are followed. DIFFERIN 0.3% GEL PUMP (TOPICAL) (DX CODE REQ.) PDL_January_1_2020.pdf. ALISKIREN/VALSARTAN (VALTURNA)* CIPROFLOXACIN 0.3%/DEXAMETHASONE 0.1% (CIPRODEX) ELBASVIR/GRAZOPREVIR (ZEPATIER)* NEOMYCIN/POLYMIXIN/HC SOLN/SUSP (CORTISPORIN) SOFOSBUVIR/VELPATASVIR (EPCLUSA)*. In addition, there are medications and/or classes of medications that are not reviewed by the committee. Highlights indicated change from previous posting. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) December 2020 Essential 6 Tier Formulary III The FDA is responsible for approving medications for use based on clinical data proving the medication is safe and effective for that specific use. Idaho Medicaid Preferred Drug List with Prior Authorization Criteria. › Verified 3 days ago Effective March 25, 2020, due to drug shortages in the marketplace, the NC Medicaid and NC Health Choice PDL Category of “Respiratory: Beta-Adrenergic Handheld, Short Acting” has changed to the following: Please visit the following site for a full PDL listing: https://medicaid.ncdhhs.gov/documents/preferred-drug-list. Bismarck, ND 58505-0250 . Blue Cross NC’s prior review, restricted-access, non-formulary exceptions and The quarterly P&T Committee meeting was held on September 18, 2020. Providers, please visit our website at 2020 LIST OF COVERED DRUGS (FORMULARY) Health Details: v UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program.Enrollment in the plan depends on the plan’s contract renewal with Medicare. NC DHHS Division of Health Benefits | NC Medicaid and NC Health Choice Preferred Drug List Review Panel Meeting | July 15, 2020 15 NSAIDs Slide 1 of 2 Preferred Non-Preferred ibuprofen suspension / tablet (generic for Motrin®) Arthrotec® Tablet indomethacin capsule (generic for … donepezil 5mg, 10mg tablet/ODT (generic for Aricept®/ ODT) Aricept®Tablet Exelon®Patch donepezil 23mg tablet (generic for Aricept®) memantine tablet/titration pack (generic for Namenda®) galantamine ER capsule / solution / tablet … Drug List (PDL) / Common Core Formulary QuickList Effective January 1, 2020 General Information: • Virginia Medicaid’s Preferred Drug List (PDL) only includes select drug classes • PDL preferred drugs do not require Service Authorizations (SA) unless subject to additional clinical criteria (e.g., long acting opioids, hepatitis C therapies, Locate contact information for state agencies, employees, hotlines, local offices, and more. Effective December 1, 2020. AL: Age Limit Restrictions . PDL Updated January 1, 2020. North Dakota Department of Human Services. Preferred Drug List – Idaho Health and Welfare. Effective December 1, 2020. Generic drug: Lowercase in plain type . Legend . Suprax susp® Trial and failure of 2 Preferred products required prior to Non-Preferred products. Please see your 2020 Formulary document for details. 2020 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. is a guide within select therapeutic categories for plan members enrolled in the traditional pharmacy benefit and their health care providers. About Medicaid, who is eligible, how to apply. THIS FORMULARY WAS UPDATED ON 11/05/2020. %���� Rx (PDP) Medicare Prescription. x��U�o�0~�����jۉ�D�* �JQ[�i��`h$[�*�ߝ�X���Ѿ\��~|w�������Y��л��w� �B*%b�� ���}9����w�kߓ0�)#E��Ҟ���g߃s� Fee-for-service plan only Preferred drug lists (PDL) The Apple Health (Medicaid) Fee-For-Service Preferred Drug List no longer applies. Preferred Drug List [1.08MB PDF] Updated 10/14/2020. 4344, or Magellan Medicaid Administration (MMA) at (866) 664-4506. • Preferred Drug List Partners in Quality Care Dear Provider Partner: members – your patients. Outpatient drugs through supplemental rebates would like to share information about recent FDA nc medicaid preferred drug list 2020 regarding REMS during... ” products Medicaid-Approved Preferred Drug List & Prior Authorization Criteria not reviewed by the + symbol “ ”... Office ) 1-800-662-7030 ( DHHS Customer Service fee-for-service plan only Preferred Drug List Healthcare of Washington Medicaid Preferred Drug nc medicaid preferred drug list 2020. 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