User: Visitor Home

 
Home
Latest News
PA Forms
Preferred Drug Lists
Prior Authorization Criteria
Speciality Drug List
P&T Committee Info
Appeals/Exception to Policy
Billing/Quantity Limits
CMS Updates/FDA Updates
Contacts
Frequently Asked Questions
Informational Letters
Links
Listserv
Manufacturers/Supplemental Rebate Info
Pharmacy Information
Policy for Review of Drug Status
Public Comments/Public Comment Sign-Up
Reports/Legislative Reports


CURRENT PDL FILES

PDL Effective January 1, 2010 PDL Effective January 1, 2010 12/31/2009 765 kB
Alpha List Effective January 1, 2010 Alpha List Effective January 1, 2010 12/4/2009 295 kB
Preferred/Recommended Drug List Effective January 1, 2010 Preferred/Recommended Drug List Effective January 1, 2010 12/4/2009 359 kB
Brands Preferred Over Generics Effective January 1, 2010 Brands Preferred Over Generics Effective January 1, 2010 11/30/2009 18 kB
Preferred Cough & Cold Products (NDC Listing) Preferred Cough & Cold Products (NDC Listing) 11/20/2007 379 kB
OTC by Therapeutic Category OTC by Therapeutic Category 12/9/2009 307 kB
OTC Payable List by NDC OTC Payable List by NDC 1/7/2010 541 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/18/2010 166 kB
Medicare Part D Excluded Drug List Medicare Part D Excluded Drug List 12/1/2009 67 kB
 

ARCHIVED PDL FILES

PDL Effective January 1, 2010 PDL Effective January 1, 2010 12/31/2009 383 kB
OTC by Therapeutic Category OTC by Therapeutic Category 12/9/2009 307 kB
PDL Effective January 1, 2010 PDL Effective January 1, 2010 11/30/2009 383 kB
PDL with Table of Contents Effective 01/01/09 PDL with Table of Contents Effective 01/01/09 12/19/2008 1 MB
Preferred/Recommended drug List Effective 01/01/09 Preferred/Recommended drug List Effective 01/01/09 12/22/2008 272 kB
Alpha List Effective 08/14/09 Alpha List Effective 08/14/09 8/3/2009 611 kB
PDL Effective November 1, 2009 PDL Effective November 1, 2009 10/12/2009 371 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 192 kB
Medicare Part D Excluded Drug List Medicare Part D Excluded Drug List 12/1/2009 44 kB
Brands Preferred Over Generics Effective August 3, 2009 Brands Preferred Over Generics Effective August 3, 2009 7/6/2009 76 kB
OTC Payable List by NDC OTC Payable List by NDC 11/5/2009 364 kB
OTC by Therapeutic Category OTC by Therapeutic Category 11/5/2009 243 kB
PDL Effective November 1, 2009 PDL Effective November 1, 2009 9/29/2009 394 kB
PDL Effective 08-14-09 PDL Effective 08-14-09 8/10/2009 390 kB
Medicare Part D Excluded Drug List Medicare Part D Excluded Drug List 9/29/2009 22 kB
OTC Payable List by NDC OTC Payable List by NDC 9/29/2009 181 kB
PDL Effective August 3, 2009 PDL Effective August 3, 2009 7/22/2009 391 kB
Alpha List Effective 01/01/09 Alpha List Effective 01/01/09 8/3/2009 305 kB
PDL Effective June 15, 2009 PDL Effective June 15, 2009 5/7/2009 360 kB
Brands Preferred Over Generics Effective June 15, 2009 Brands Preferred Over Generics Effective June 15, 2009 6/30/2009 19 kB
PDL Effective May 8, 2009 PDL Effective May 8, 2009 5/7/2009 363 kB
PDL Effective 4/20/09 PDL Effective 4/20/09 3/25/2009 363 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 130 kB
PDL Effective 2/04/09 PDL Effective 2/04/09 2/3/2009 360 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 40 kB
Brands Preferred over Generics Effective 02/04/09 Brands Preferred over Generics Effective 02/04/09 3/17/2009 20 kB
OTC Drug List by Therapeutic Category OTC Drug List by Therapeutic Category 2/20/2008 21 kB
OTC Payable List by NDC OTC Payable List by NDC 7/3/2008 2 MB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 129 kB
Medicare Part D Excluded Drug List Medicare Part D Excluded Drug List 4/12/2007 26 kB
PDL Effective 2/04/09 PDL Effective 2/04/09 1/29/2009 360 kB
PDL Effective 01/01/09 PDL Effective 01/01/09 12/19/2008 361 kB
Brands Preferred over Generics 10-27-08 Brands Preferred over Generics 10-27-08 10/16/2008 37 kB
Alpha List Effective 10-27-08 Alpha List Effective 10-27-08 10/21/2008 294 kB
PDL Effective 10/27/08 PDL Effective 10/27/08 10/6/2008 374 kB
Alpha List Effective 07/28/08 Alpha List Effective 07/28/08 7/22/2008 303 kB
Brands Preferred over Generics 07-28-08 (copy) Brands Preferred over Generics 07-28-08 (copy) 10/16/2008 19 kB
PDL Effective 07/28/08 PDL Effective 07/28/08 7/22/2008 386 kB
PDL Effective 05/19/08 PDL Effective 05/19/08 5/14/2008 508 kB
Brands Preferred over Generics 04/21/08 Brands Preferred over Generics 04/21/08 4/7/2008 37 kB
OTC Payable List by NDC (copy) OTC Payable List by NDC (copy) 7/3/2008 1 MB
PDL Effective 04-30-08 PDL Effective 04-30-08 4/16/2008 509 kB
PDL Effective 02-18-08 PDL Effective 02-18-08 4/16/2008 522 kB
Brands Preferred over Generics 01/01/08 Brands Preferred over Generics 01/01/08 4/7/2008 19 kB
OTC Drug List OTC Drug List 9/18/2007 22 kB
PDL Effective 01/01/08 PDL Effective 01/01/08 1/15/2008 911 kB
Alpha List Effective 01/01/08 Alpha List Effective 01/01/08 1/15/2008 979 kB
Alpha List 7-30-07 Alpha List 7-30-07 7/16/2007 291 kB
Brands Preferred over Generics 10-29-07 Brands Preferred over Generics 10-29-07 10/3/2007 19 kB
PDL Effective 10-29-07 PDL Effective 10-29-07 12/21/2007 510 kB
Preferred Cough & Cold Products (NDC Listing) (copy) Preferred Cough & Cold Products (NDC Listing) (copy) 11/20/2007 254 kB
PDL Effective 7-30-07 PDL Effective 7-30-07 7/16/2007 501 kB
Brands Preferred over Generics 07-30-07 Brands Preferred over Generics 07-30-07 7/16/2007 19 kB
OTC Drug List OTC Drug List 4/12/2007 145 kB
Alpha List Effective 04-23-07 Alpha List Effective 04-23-07 4/24/2007 600 kB
Brands Preferred over Generics Brands Preferred over Generics 5/2/2007 158 kB
PDL Effective 4-23-07 PDL Effective 4-23-07 4/24/2007 1 MB
PDL Effective 01-01-07 PDL Effective 01-01-07 1/19/2007 1 MB
Brands Preferred over Generics 03-07 Brands Preferred over Generics 03-07 5/2/2007 114 kB
Brands Preferred over Generics 1-06 Brands Preferred over Generics 1-06 12/22/2006 38 kB
Preferred Cough & Cold Products (NDC Listing) Preferred Cough & Cold Products (NDC Listing) 12/22/2006 128 kB
OTC Payable List by NDC OTC Payable List by NDC 12/14/2006 482 kB
OTC Drug List OTC Drug List 12/14/2006 284 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 445 kB
PDL Effective 10-30-06 PDL Effective 10-30-06 10/4/2006 373 kB
PDL Effective 7-17-06 PDL Effective 7-17-06 7/5/2006 740 kB
PDL Effective 5-22-2006 PDL Effective 5-22-2006 5/25/2006 367 kB
PDL Effective 02-18-06 PDL Effective 02-18-06 2/7/2006 362 kB
PDL Effective 01-16-06 PDL Effective 01-16-06 12/20/2005 510 kB
Preferred / Recommended Drug List Preferred / Recommended Drug List 8/1/2005 98 kB
PDL Update - 11/16/2005 PDL Update - 11/16/2005 Cilostazol now preferred 11/22/2005 503 kB
PDL - One Column Version PDL - One Column Version 2/24/2005 169 kB
PDL Effective 6-20-2005 PDL Effective 6-20-2005 10/27/2006 500 kB
PDL Effective 12-23-2004 PDL Effective 12-23-2004 9/25/2006 408 kB
IOWA DHS Approved PDL IOWA DHS Approved PDL Cilostazol now preferred 4/13/2007 503 kB
PDL Effective 5-1-06 PDL Effective 5-1-06 4/7/2006 367 kB
Alpha List Effective 01-01-07 Alpha List Effective 01-01-07 1/19/2007 870 kB
OTC Payable List by NDC (01/01/07) OTC Payable List by NDC (01/01/07) 8/31/2007 1 MB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 677 kB
Brands Preferred over Generics Effective 04/20/09 Brands Preferred over Generics Effective 04/20/09 3/17/2009 39 kB
Draft RDL from the November 13, 2008 P&T Committee Meeting Draft RDL from the November 13, 2008 P&T Committee Meeting 5/7/2009 133 kB

DRAFT PDL FILES

 * Disclaimer: This is a draft list and subject to change. Some items listed are not currently covered by Iowa Medicaid PDL and may not be on the final Iowa Medicaid PDL.

Draft PDL for 6-12-08 P&T Committee Meeting Draft PDL for 6-12-08 P&T Committee Meeting 6/5/2008 1 MB
Draft PDL 3-13-08 Draft PDL 3-13-08 4/16/2008 1 MB
Draft PDL for the November 9, 2006 P & T Committee Meeting Draft PDL for the November 9, 2006 P & T Committee Meeting 4/13/2007 747 kB
Draft PDL for the November 9, 2006 P & T Committee Meeting Draft PDL for the November 9, 2006 P & T Committee Meeting 4/13/2007 374 kB
Draft PDL 3-8-07 Draft PDL 3-8-07 2/6/2007 387 kB
Draft PDL 11-8-07 Draft PDL 11-8-07 12/21/2007 394 kB
Draft PDL 06-14-07 Draft PDL 06-14-07 5/22/2007 1015 kB
Draft PDL For September 14th P & T Committee Meeting Draft PDL For September 14th P & T Committee Meeting 8/9/2006 376 kB
Draft PDL for March 9, 2006 P & T Committee Meeting Draft PDL for March 9, 2006 P & T Committee Meeting 3/22/2006 2 MB
2nd DRAFT PDL for the December P & T Meeting 2nd DRAFT PDL for the December P & T Meeting 12/7/2005 1 MB
DRAFT IOWA DHS Approved PDL 12/17/2004 DRAFT IOWA DHS Approved PDL 12/17/2004 12/17/2004 378 B
IOWA DHS Approved PDL Revised as of 11/24/2004: Only Revision is KETEK IOWA DHS Approved PDL Revised as of 11/24/2004: Only Revision is KETEK NOTE: ONLY REVISION IS KETEK 11/24/2004 215 kB
* DRAFT DHS IOWA Recommended Drug List for 12/2/2004 P&T Meeting * DRAFT DHS IOWA Recommended Drug List for 12/2/2004 P&T Meeting 11/24/2004 129 kB
* DRAFT DHS IOWA Preferred Drug List - OMITTED/UPDATED DRUGS for12/2/2004 P&T Meeting * DRAFT DHS IOWA Preferred Drug List - OMITTED/UPDATED DRUGS for12/2/2004 P&T Meeting 4/13/2007 159 kB
* DRAFT DHS IOWA Preferred Drug List - DRAFT 3 * DRAFT DHS IOWA Preferred Drug List - DRAFT 3 10/20/2004 393 B
* DRAFT DHS Staff-Recommended Drug List (RDL) * DRAFT DHS Staff-Recommended Drug List (RDL) 8/27/2004 30 kB
Draft PDL for June 8th P&T Committee Meeting Draft PDL for June 8th P&T Committee Meeting 5/18/2006 369 kB
* DRAFT DHS IOWA Preferred Drug List * DRAFT DHS IOWA Preferred Drug List 9/10/2004 262 kB
 

Other Misc. Archived Files Applicable to the PDL

Alpha List Alpha List 10/19/2006 579 kB
Alpha List Effective 7/17/06 Alpha List Effective 7/17/06 10/19/2006 281 kB
Nonpresciption Drug Maximum Allowable Cost (MAC) List Nonpresciption Drug Maximum Allowable Cost (MAC) List 1/7/2010 330 kB
OTC Payable List by NDC OTC Payable List by NDC 10/19/2006 242 kB
Nonpresciption Drug Maximum Allowable Cost (MAC) List Nonpresciption Drug Maximum Allowable Cost (MAC) List 1/7/2010 264 kB
OTC Drug List (05.08.2006) OTC Drug List (05.08.2006) 6/28/2006 143 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 20 kB
OTC Rebatable List OTC Rebatable List 7/18/2005 384 kB
Nonprescription Drug Maximum Allowable Cost(MAC) List Nonprescription Drug Maximum Allowable Cost(MAC) List 1/7/2010 172 kB
Nonprescription Drug Maximum Allowable Cost (MAC) List Nonprescription Drug Maximum Allowable Cost (MAC) List 1/7/2010 53 kB
Grandfather Drug List Grandfather Drug List 2/24/2005 365 B
Final Recommended Drug List Final Recommended Drug List 2/24/2005 369 B
Calcium Channel Blockers Calcium Channel Blockers 2/24/2005 375 B
Brands Preferred over Generics Brands Preferred over Generics 6/23/2005 37 kB
Alpha List Alpha List 11/3/2005 507 kB
Alpha Drug List Alpha Drug List 2/24/2005 346 B
Medicare Part D Excluded Drug List Medicare Part D Excluded Drug List 5/23/2006 84 kB
Back to Top
Nonprescription Drug Maximum Allowable Cost (MAC) ListOTC-MAC-List-5-09-_5_.pdf
©2005 Iowa Medicaid PDL. All rights reserved.
Click here to view our Privacy Statement