nc medicaid preferred drug list 2020

919-855-4100 (Main Office) 1-800-662-7030 (DHHS Customer Service) Local County Department of Social Services Published By: Medical Services Division. Effective December 1, 2020. Preferred Drug List - Effective 12/01/2020 Information Disclaimer Oregon Health Plan Preferred Drug List, a list of the most cost-effective drugs to prescribe for fee-for-service members. If you are already taking a drug not on the Preferred Drug List or your drugs gets removed from the Preferred Dru… Find out more. Idaho Medicaid Preferred Drug List with Prior Authorization Criteria. <>/Metadata 3184 0 R/ViewerPreferences 3185 0 R>> 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. Alphabetical by drug name - Posted 12/02/20. Legend . You may still be able to get drugs not on the Preferred Drug List. To get drugs not on the Preferred Drug List, your provider will need to get prior authorization from Health First Colorado. 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. Molina Healthcare of Washington Medicaid Preferred Drug List (Formulary) (11/01/2020) INTRODUCTION. Preferred Drug List – Idaho Health and Welfare. Preferred Drug List (PDL) & Prior Authorization Criteria . Preferred Drug List – Idaho Health and Welfare. Bismarck, ND 58505-0250 . 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. Version 2020.1 . Telephone. 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. 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, (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 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. THIS FORMULARY WAS UPDATED ON 11/05/2020. <>/Font<>/XObject<>/Pattern<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. Brand name drug: Uppercase in bold type . THIS FORMULARY WAS UPDATED ON 11/05/2020. Effective: January 1, 2020 North Carolina State Health Plan Preferred Drug List - Traditional Pharmacy Benefit . North Carolina Division of Health Benefits North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: September 1, 2020 T. Preferred Non-Preferred. 4 0 obj NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2001 919-855-4800 endobj 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. 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. If you have additional questions about the PDL program, you may contact Medicaid Client Services at (800) 852-3345, ext. North Dakota Department of Human Services. 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. Suprax susp® Trial and failure of 2 Preferred products required prior to Non-Preferred products. v The Drug List (formulary) may change on January 1 of each year, and from time to time … Published By: Medical Services Division. 2020 Preferred Drug List Humana Medical Plan All Regions PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Highlights indicated change from previous posting. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC 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®. Please see … Drug List by the + symbol. Our lock-in program assigns members to a specific pharmacy and prescriber provider. 2020 Over-the-Counter (OTC) Catalog - WellCare Live www.wellcare.com • See your list of wellness services • Find doctors and urgent care centers Save Time With Convenient Self-Service Tools Self-service tools are available on your schedule, 24/7, any day of the year. Alphabetical by drug name - Posted 11/02/20. 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 … Open the attached list and use the Adobe Acrobat search tool to locate specific drugs by name or HIC3 therapeutic class. ALISKIREN/VALSARTAN (VALTURNA)* CIPROFLOXACIN 0.3%/DEXAMETHASONE 0.1% (CIPRODEX) ELBASVIR/GRAZOPREVIR (ZEPATIER)* NEOMYCIN/POLYMIXIN/HC SOLN/SUSP (CORTISPORIN) SOFOSBUVIR/VELPATASVIR (EPCLUSA)*. 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. Find out more. 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. 2020 Preferred Drug List Humana Medical Plan All Regions PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Please read the first page for important additional information. �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'. NC Medicaid and Health Choice Clinical Coverage Policy for Outpatient Pharmacy Services; 2020 NC Medicaid Pharmacy Newsletters; 2019 NC Medicaid Pharmacy Newsletters; NC Medicaid Preferred Drug List; NC Medicaid Provider Bulletins In each class, drugs are listed alphabetically by either brand name or generic name. �Ĭ�������'��ᚎ�nZ��Id$�)I����t粁4�;�������.���� 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. Bismarck, ND 58505-0250 . The drug should be filled at an in-network pharmacy and … Covered (BadgerCare Plus and Medicaid) (Effective 1/1/2018) The quarterly P&T Committee meeting was held on September 18, 2020. Locate contact information for state agencies, employees, hotlines, local offices, and more. AmeriHealth Caritas North Carolina covers certain over-the-counter medications and products. January 2020 North Carolina State Health Plan Preferred Drug List - Traditional Pharmacy Benefit. Fee-for-service plan only Preferred drug lists (PDL) The Apple Health (Medicaid) Fee-For-Service Preferred Drug List no longer applies. The. This list is updated regularly. 2020 Preferred Drug List (PDL) - November 2020. Home | UAC | Reference | Site Map. Preferred Drug List (PDL) & Prior Authorization Criteria . 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. PREFERRED NON-PREFERRED. Preferred Drug List [1.08MB PDF] Updated 10/14/2020. 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. Generic drug: Lowercase in plain type . stream PREFERRED NON-PREFERRED. 600 E Boulevard Ave Dept 325. 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. DO: Dose Optimization Program . UNIVERSAL PREFERRED DRUG LIST (For All Medicaid, MSCAN and CHIP Beneficiaries) Conduent’s SmartPA Pharmacy Application (SmartPA) is a proprietary electronic prior authorization system used for Medicaid fee for service claims. Pharmacy Lock-in Program. Note: 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). 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. The PDL was authorized by the NC General Assembly Session Law 2009-451, Sections 10.66(a)-(d). View the NC Medicaid PDL to find a covered medicine. The 2020 Medicaid Pharmacy Newsletters can be viewed here. Brand name drug: Uppercase in bold type . 2 0 obj Data valid as of 12/26/2020. December 2019 . To review the most up-to-date information, please use the DHS NDC Search.. Search by Drug Name (minimum first 3 characters, maximum 25 characters) or NDC or Therapeutic Class, and Major Program with Date of Service (in the last year). OFLOXACIN … PDL_January_1_2020.pdf. The Health First Colorado (Colorado's Medicaid Program) Preferred Drug Listincludes clinically effective medications that you can get without needing prior authorization or approval. 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. 4344, or Magellan Medicaid Administration (MMA) at (866) 664-4506. New York Medicaid Medicaid-Approved Preferred Drug List. We are pleased to provide the 2020 Molina Healthcare of Washington Apple Health (Medicaid) Preferred Drug List (Formulary) as a useful reference and informational tool. Suprax susp® Trial and failure of 2 Preferred products required prior to Non-Preferred products. 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 … North Dakota Department of Human Services. Rx (PDP) Medicare Prescription. In each class, drugs are listed alphabetically by either brand name or generic name. Please see your 2020 Formulary document for details. The quarterly P&T Committee meeting was held on September 18, 2020. Our lock-in program assigns members to a specific pharmacy and prescriber provider. Blue Cross NC’s prior review, restricted-access, non-formulary exceptions and The NC Medicaid Preferred Drug List (PDL) allows NC Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates. If you would like to report a concern or problem about the PDL program, you … Not all … %PDF-1.7 x��U�o�0~�����jۉ�D�* �JQ[�i��`h$[�*�ߝ�X���Ѿ\��~|w�������Y��л��w� �B*%b�� ���}9����w�kߓ0�)#E��Ҟ���g߃s� 1 0 obj NC Medicaid would like to share information about recent FDA guidance regarding REMS requirements during the COVID-19 public health emergency. DO: Dose Optimization Program . Rx (PDP) Medicare Prescription. 2021 WellCare Drug List (Formulary) Search Tool. 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. About Medicaid, who is eligible, how to apply. View the NC Medicaid PDL to find a covered medicine. <> This complete list of prescription drugs covered by your plan is current as of September 1, 2019. This document can assist medical providers in selecting Drug Plan. 201 W. Preston Street, Baltimore, MD 21201-2399 (410) 767-6500 or 1-877-463-3464 PDL Updated January 1, 2020. 201 W. Preston Street, Baltimore, MD 21201-2399 (410) 767-6500 or 1-877-463-3464 Version 2020.1 . WELCOME AND INTRODUCTIONS. 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, Connecticut Medicaid Preferred Drug List (PDL) I. New York Medicaid Medicaid-Approved Preferred Drug List. is a guide within select therapeutic categories for plan members enrolled in the traditional pharmacy benefit and their health care providers. In addition, there are medications and/or classes of medications that are not reviewed by the committee. This is a list of drugs covered by your plan. Legend . 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. 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. This is a list of drugs covered by your plan. Preferred Brands with Non-preferred Generics on the Preferred Drug List (PDL) Providers are encouraged to review this important information. 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. Preferred Drug List (PDL). DIFFERIN 0.3% GEL PUMP (TOPICAL) (DX CODE REQ.) Please visit https://www.fda.gov/media/136317/download for the current recommendations. 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. PDL Updated January 1, 2020. Generic drug: Lowercase in plain type . Please note that the South Carolina Medicaid Preferred Drug List is updated quarterly. 2 Preferred Drug List What is the Preferred Drug List? 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 … This drug list has changed since last … 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 AL: Age Limit Restrictions . NC Medicaid and Health Choice Preferred Drug List (PDL) effective Jan. 1, 2020 NON-PREFERRED –. Highlights indicated change from previous posting. The 2020 Medicaid Pharmacy Newsletters can be viewed here. AmeriHealth Caritas North Carolina covers certain over-the-counter medications and products. 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