This page contains drug information from the pharmacy file. Sulfacetamide/Prednisolone Ointment (Blephamide S.O.P.®) Sulfacetamide/Prednisolone Solution (Blephamide®) Tobramycin/Dexamethasone Susp ension (AG; Generic) LA Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) Effective Date: July 1, 2020. The quarterly P&T Committee meeting was held on June 19, 2020. The full list of reimbursable drugs may be viewed online or downloaded, using the link provided below. NC Medicaid Preferred Drug List (PDL) effective Sept. 1, 2020NC Medicaid Preferred Drug List (PDL) effective Aug. 1, 2020NC Medicaid Preferred Drug List (PDL) effective March 25, 2020NC Medicaid Preferred Drug List (PDL) effective March 1, 2020NC Medicaid and Health Choice Preferred Drug List (PDL) effective Feb. 1, 2020NC Medicaid and Health Choice Preferred Drug List (PDL) effective Jan. 1, 2020NC Medicaid and Health Choice Preferred Drug List (PDL) effective Dec. 1, 2019NC Medicaid and Health Choice Preferred Drug List (PDL) effective Nov. 1, 2019NC Medicaid and Health Choice Preferred Drug List (PDL) effective Oct. 1, 2019NC Medicaid and Health Choice Preferred Drug List (PDL) effective Sept. 1, 2019NC Medicaid and Health Choice Preferred Drug List (PDL) effective July 1, 2019NC Medicaid Preferred Drug List (PDL) effective Jan. 31, 2019NC Medicaid Preferred Drug List (PDL) effective Dec. 27, 2018NC Medicaid Preferred Drug List (PDL) effective Dec. 3, 2018NC Medicaid Preferred Drug List (PDL) effective Oct. 29, 2018NC Medicaid Preferred Drug List (PDL) effective Aug. 1, 2018NC Medicaid Preferred Drug List (PDL) effective July 2, 2018NC Medicaid Preferred Drug List (PDL) effective June 1, 2018NC Medicaid Preferred Drug List (PDL) effective May 1, 2018NC Medicaid Preferred Drug List (PDL) effective April 1, 2018NC Medicaid Preferred Drug List (PDL) effective March 1, 2018NC Medicaid Preferred Drug List (PDL) effective Feb. 1, 2018NC Medicaid Preferred Drug List (PDL) effective Jan. 15, 2018NC Medicaid Preferred Drug List (PDL) effective Jan. 5, 2018NC Medicaid Preferred Drug List (PDL) effective Dec. 1, 2017NC Medicaid Preferred Drug List, effective Nov. 1, 2017NC Medicaid Preferred Drug List (PDL) effective September 1, 2017NC Medicaid Preferred Drug List (PDL) effective July 1, 2017NC Medicaid Preferred Drug List (PDL) effective June 1, 2017 NC Medicaid Preferred Drug List (PDL) effective May 26, 2017NC Medicaid Preferred Drug List (PDL) effective April 1, 2017NC Medicaid Preferred Drug List (PDL) effective Jan. 1, 2017NC Medicaid Preferred Drug List (PDL) effective Jan. 1, 2017NC Medicaid Preferred Drug List (PDL) effective Nov. 11, 2016NC Medicaid Preferred Drug List (PDL) effective Nov. 1, 2016NC Medicaid Preferred Drug List (PDL) effective Oct. 1, 2016NC Medicaid Preferred Drug List (PDL) effective July 11, 2016NC Medicaid Preferred Drug List (PDL) effective April 1, 2016 Only those prescription and non-prescription drugs which appear on the list are reimbursable under the fee-for-service Medicaid Pharmacy Program.This zip file contains eight pipe delimited text files and creates the following output files:
Quantity Limit Coverage; Text Message Coverage; Cross Reference This page contains drug information from the pharmacy file. To obtain authorization for a nonpreferred drug, a client must have tried and failed, or is intolerant to, a designated number of preferred drugs within the drug class unless contraindicated or … Attention Prescribers: How to use the Apple Health PDL. NC Medicaid and Health Choice Preferred Drug List (PDL) effective Feb. 1, 2020 Florida Medicaid Preferred Drug List (effective 07-01-2020) 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. 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). Formulary Status; Copay List; Age Limit Coverage; Gender Limit; Prior Auth Coverage;
The full list of reimbursable drugs may be viewed online or downloaded, using the link provided below. PDL_February_1_2020.pdf. Only those prescription and non-prescription drugs which appear on the list are reimbursable under the fee-for-service Medicaid Pharmacy Program.