Virginia Medicaidâs Preferred Drug List (PDL)/Common Core Formulary 7/1/20 1 | P a g e Virginia Medicaidâs Pharmacy Benefits Management System Phone: 800-932-6648 Fax: 800-932-6651 General Information: ⢠Virginia Medicaidâs Preferred Drug List (PDL)/ Common Core Formulary only includes select drug classes, other classes will pay such as but not Most drugs are identified as âpreferredâ or ânon-preferredâ. State of Georgia government websites and email systems use âgeorgia.govâ or âga.govâ at the end of the address. 2021 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. Please note that starting the requested drug, including a non-preferred drug, prior to a PA request being reviewed and approved, through either inpatient use, by using office âsamplesâ, or by any other means, does not necessitate Medicaid approval of the PA request. If you learn that Health Plan of Nevada Medicaid does not prefer the drug, you Preferred Drug List (PDL) (PDF) Division of Medicaid Preferred Drug List Changes - Effective 10/1/2020 (PDF) Division of Medicaid Preferred Drug List (PDL) (PDF) Division of Medicaid Preferred Drug List Changes - Effective 10/1/2020 (PDF) Universal Preferred Drug List Magnolia uses a list of preferred and non-preferred medications called the 866-912-6285 (). Brand name drug⦠Illinois Medicaid Preferred Drug List Effective April 1, 2020 The Preferred Drug List (PDL) has products listed in groups by drug class, drug name, dosage form, and PDL status Multi-source drugs are listed by both brand and generic Preferred Drug List (PDL) - November 9, 2020 Please refer to the Additional Therapeutic Criteria Chart, Dosage Limitation List (red font indicates quantity/dosage limits apply) , and the Wyoming Medicaid Oregon Health Plan Preferred Drug List, a list of the most cost-effective drugs to prescribe for fee-for-service members. Prescription Drug List - Essential - Effective January 1, 2020 Prescription Drug List - Essential - Colorado Doctorâs Plan - Effective July 1, 2019 Community Plan / Medicaid : Visit Health Plans by State > Select State > select "Pharmacy Resources ⦠LA Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) Effective Date: July 1, 2020 Additional Point-of-Sale (POS) Edits May Apply Drugs highlighted ⦠The Preferred Drug List below was updated from the September 18, 2020 P&T Committee meeting.Open the attached list and use the Adobe Acrobat search tool to locate specific drugs by name or HIC3 therapeutic Before sharing sensitive or North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: February 1, 2020 T rial and failure of two Preferred drugs are required unless only one Preferred option is listed or is ⦠Wisconsin Medicaid, BadgerCare Plus Standard, and SeniorCare Preferred Drug List - Quick Reference Revised 3/30/2020 (Effective 04/01/2020) KEY: ⢠SCN = Wisconsin SeniorCare does not cover over-the-counter drugs. R x MeridianComplete (Medicare-Medicaid Plan) 2020 List of Covered Drugs (Formulary) Formulary ID: 20516Version Number: 24 This formulary was updated on 1/24/2020. For more up-to-date information or if you have any questions, please call Customer Service at: Toll-free 1-844-855-9776, TTY 711 8am-8pm: 7 Days Oct-Mar; M-F Apr-Sept www.UHCCommunityPlan.com Formulary ID Number 00020047 ... united healthcare community ⦠Local, state, and federal government websites often end in .gov. This list is updated regularly. The .gov means itâs official. Medicaid-Approved Preferred Drug List Effective December 1, 20 20 Legend In each class, drugs are listed alphabetically by either brand name or generic name. Cookies are used to improve the use of our website and analytic purposes. The preferred drug list is arranged by drug therapeutic class and contains a subset of many, but not all, drugs on the Medicaid formulary. You may still be able to get drugs not on the Preferred Drug List. LA Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) Effective Date: October 1, 2019 Additional Point-of-Sale (POS) Edits May Apply Page | 5 Descriptive Therapeutic Class Drugs on PDL Drugs on NPDL which Require Prior Authorization (PA) Details: 20201 COMPLETE DRUG LIST (FORMULARY) Important Notes: This document has information about the drugs covered by this plan. To get drugs not on the Preferred Drug List, your provider will need to get prior authorization from Health First Colorado. New York Medicaid Medicaid-Approved Preferred Drug List Effective December 1, 2020 Legend In each class, drugs are listed alphabetically by either brand name or generic name. Please note that the Wisconsin Medicaid, BadgerCare Plus Standard, and SeniorCare Preferred Drug List â Quick Reference Revised 08/17/2020 (Effective 08/01/2020) Page 3 of 13 Brand Before Generic Drug Refer to topic #20077 Monthly Changes to Use our Medicaid Preferred Drug List (Link) to find more information on the drugs that are covered. Department of Vermont Health Access 280 State Drive Waterbury, Vermont 05671-1010 Phone: 802-879-5900 Fax: 802-241-0260 Department Contact List for customer service, program telephone and fax numbers, and staff email What if the drug you want to take is not on the Preferred Drug List?If you donât see your drug on the Preferred Drug List, call Member Services and ask about it. Nebraska Medicaid Preferred Drug List with Prior Authorization Criteria PDL Updated June 1, 2020 Highlights indicated change from previous posting For the most up to date list of covered drugs consult the Drug Lookup Prescribers may request an override for non-preferred drugs by calling the Magellan Medicaid Administration (MMA) Help Desk at: Toll Free 1-800-424-7895 and choose the PDL option. For more recent information orother 9. North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: September 1, 2020 T rial and failure of two Preferred drugs are required unless only one Preferred option is listed or is ⦠Virginia Preferred * Note that agents not listed on PDL may be considered non-preferred Drug List (PDL) / Common Core Formulary QuickList Effective January 1, 2020 General Information: ⢠Virginia Medicaidâs Preferred 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. 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 Idaho Medicaid Preferred Drug List with Prior Authorization Criteria NOTE: The links to the PA forms are currently not working. We use cookies on our website.
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