Pharmacy Information

Files

File Description Date
PDL Changes Effective October 20, 2017 72.28 KB levonorgestrel emergency contraception 2017/10/16
PDL Changes Effective October 6, 2017 72.24 KB tobramycin nebulization solution 2017/10/02
Informational Letter #1824 275 KB MC-FFS Iowa Medicaid Pharmacy Program Changes Effective October 1, 2017 2017/08/28
Informational Letter #1818 151.8 KB MC-FFS Drugs for Rare Diseases under Outpatient Pharmacy Benefit 2017/08/18
PDL Changes Effective July 21, 2017 72.26 KB (epinephrine auto-injector) 2017/07/14
PDL Changes Effective May 12, 2017 71.99 KB (Vancomycin) 2017/05/08
Informational Letter #1786 197.63 KB FFS Iowa Medicaid Pharmacy Program Changes Effective June 1, 2017 2017/05/01
Informational Letter #1769 214.35 KB MC-FFS-D Iowa Medicaid Pharmacy Program Changes Effective April 1, 2017 2017/02/21
Informational Letter #1757 141.17 KB MC-FFS Iowa Medicaid Pharmacy Program Changes Prospective Drug Utilization Review (ProDUR) Antipsychotic Edits 2017/01/18
Informational Letter #1746 277.44 KB MC-FFS-D Iowa Medicaid Pharmacy Program Changes Effective January 1, 2017 2016/11/30
Informational Letter #1722 182 KB MC-FFS Iowa Medicaid Pharmacy Program Changes Effective October 1, 2016 2016/09/14
Informational Letter #1706 154.33 KB MC Respiratory Syncytial Virus (RSV) 2016-2017 Season 2016/08/02
Informational Letter #1683 282.47 KB MC Iowa Medicaid Pharmacy Program Changes Effective August 1, 2016 2016/06/22
Informational Letter #1680 129.74 KB MC Quitline Iowa for Smoking Cessation 2016/06/14
Informational Letter #1664 238.9 KB MC Iowa Medicaid Pharmacy Program Changes Effective June 1, 2016 2016/05/02
Informational Letter #1644 142.98 KB Medicaid Preferred Drug List for Medicaid and hawk-i Members 2016/03/29
Informational Letter #1629 256.62 KB Iowa Medicaid Pharmacy Program Changes Effective April 11, 2016 2016/03/08
PDL Changes Effective February 5, 2016 (Amicar) 55 KB 2016/02/01
Informational Letter #1579 329.57 KB Iowa Medicaid Pharmacy Program Changes Effective January 1, 2016 2015/11/30
Informational Letter #1551 147.59 KB Respiratory Syncytial Virus (RSV) 2015-2016 Season 2015/09/22
Informational Letter #1552 211.99 KB Iowa Medicaid Pharmacy Program Changes Effective October 1, 2015 2015/09/17
PDL Changes Effective August 7, 2015 67.5 KB divalproex er and metoprolol succinate 2015/08/04
Informational Letter #1517 274.65 KB Iowa Medicaid Pharmacy Program Changes Effective July 6, 2015 2015/06/10
PDL Changes Effective April 24, 2015 (duloxetine) 55.38 KB 2015/04/23
Informational Letter #1500 350.12 KB Iowa Medicaid Pharmacy Program Changes Effective June 1, 2015 2015/04/22
PDL Changes Effective February 6, 2015 (acamprosate) 6.84 KB 2015/01/29
Informational Letter #1471 120.15 KB Complex Pharmaceutical Oversight Program 2015/01/08
PDL Changes Effective December 26, 2014 (bromocriptine, duloxetine & xulane) 11.37 KB 2014/12/18
PDL Changes Effective December 12, 2014 (levofloxacin oral solution) 6.88 KB 2014/12/04
Informational Letter #1457 265.67 KB Iowa Medicaid Pharmacy Program Changes Effective January 1, 2015 2014/12/02
Informational Letter #1450 137.66 KB Iowa Medicaid Data Systems to Undergo Maintenance, Will be Temporarily Unavailable 2014/11/11
Informational Letter #1437 146.37 KB Respiratory Syncytial Virus (RSV) 2014-2015 Season 2014/10/20
Informational Letter #1431 213.3 KB Iowa Medicaid Pharmacy Program Changes (dispensing fee and coverage of naloxone) 2014/10/14
PDL Changes Effective September 26, 2014 (hypercare & generics for Nephrocaps) 14.17 KB 2014/09/26
Informational Letter #1418 254.61 KB Iowa Medicaid Pharmacy Program Changes Effective October 1, 2014 2014/08/28
PDL Changes Effective July 25, 2014 (Inderal LA) 11.26 KB 2014/07/15
Informational Letter #1398 306.93 KB Iowa Medicaid Pharmacy Program Changes Effective July 21, 2014. 2014/06/18
PDL Changes Effective June 6, 2014 (Aldara) 11.18 KB 2014/05/30
Informational Letter #1382 218.73 KB Iowa Medicaid Pharmacy Program Changes Effective June 1, 2014. 2014/04/29
Informational Letter #1361 190.91 KB Iowa Medicaid Pharmacy Program Changes Effective April 1, 2014. 2014/02/24
Changes in coverage for prescription combination drug products containing acetaminophen 10.42 KB 2014/01/29
Informational Letter #1338 40.02 KB Iowa Medicaid Pharmacy Provider Portal. * Replaces Informational Letter #1309. 2013/12/23
Informational Letter #1325 300.32 KB Iowa Medicaid Pharmacy Program Changes Effective 2013/12/02
Informational Letter #1307 139.9 KB Update to Respiratory Syncytial Virus (RSV) 2013-2014 Season 2013/10/23
Informational Letter #1292 198.27 KB Respiratory Syncytial Virus (RSV) 2013-2014 Season 2013/09/23
Informational Letter #1283 273.88 KB Iowa Medicaid Pharmacy Program Changes Effective October 1. 2013 2013/09/03
PDL Changes Effective May 31, 2013 (immediate release methylphenidate tablets) *Second Notice 11.46 KB 2013/05/24
Information Letter #1244 98.87 KB Iowa Medicaid Pharmacy Program Changes Effective July 1, 2013 2013/05/23
Update to April 29, 2013 Notification Regarding Coverage of Ritalin SR and methylphenidate sr 11.42 KB 2013/05/02
PDL Changes Effective May 1, 2013 (Ritalin SR & methylphenidate sr) 11.3 KB 2013/04/29
PDL Changes Effective May 31, 2013 (Immediate release methylphenidate tablets) 11.36 KB 2013/04/29
PDL Changes Effective May 1, 2013 (Benzaclin & Duac) 11.26 KB 2013/04/26
Update to February 12, 2013 Notification Regarding Coverage of Colgate Products 11.64 KB 2013/04/02
Informational Letter #1227 276.43 KB Iowa Medicaid Pharmacy Program Changes Effective May 1, 2013 2013/03/26
Informational Letter #1228 144.79 KB Respiratory Syncytial Virus (RSV) 2013/03/26
PDL Changes Coverage of Doxycycline Effective March 29, 2013 11.34 KB 2013/03/25
Correction to February 11, 2013 Notification Regarding PDL Changes 16.94 KB 2013/02/13
Coverage of Colgate Products Effective April 1, 2013 14.08 KB 2013/02/12
PDL Changes Effective February 15, 2013 11.3 KB 2013/02/11
Informational Letter #1213 170.36 KB Iowa Medicaid Pharmacy Program Changes Effective March 4, 2013 2013/01/21
Informational Letter #1195 201.31 KB Pharmacy Program and Atypical Antipsychotic Update 2012/12/06
Informational Letter #1191 121.13 KB Iowa Medicaid Pharmacy Program Changes Effective January 1, 2013 2012/11/30
Abilify Tablet Splitting Requirement Effective January 1, 2013 20.85 KB 2012/11/27
SMAC Changes Effective November 23, 2012 14.17 KB 2012/11/14
SMAC Changes Effective November 9, 2012 11.31 KB 2012/10/31
Informational Letter #1174 92.27 KB Iowa Medicaid Pharmacy Program Changes Effective October 22, 2012 2012/09/21
SMAC Changes Effective October 1, 2012 16.58 KB 2012/09/13
Informational Letter #1163 45.53 KB Pharmacy Dispensing Fee Increase 2012/08/20
SMAC Changes Effective August 3, 2012 11.29 KB 2012/07/31
SMAC Changes Effective July 6, 2012 11.3 KB 2012/07/03
Status change for Concerta Effective 7/13/12 11.33 KB 2012/07/03
Informational Letter #1145 119 KB Iowa Medicaid Pharmacy Program Changes Effective July 30, 2012 2012/06/28
SMAC Changes Effective May 25, 2012 11.24 KB 2012/05/21
SMAC Changes Effective May 11, 2012 11.23 KB 2012/05/02
Informational Letter #1110 118.14 KB Iowa Medicaid Pharmacy Program Changes Effective April 9, 2012 2012/03/19
Informational Letter #1081 77.35 KB Iowa Medicaid Pharmacy Program Changes Effective January 30, 2012 2011/12/19
SMAC Changes Effective December 9, 2011 11.46 KB 2011/12/02
Informational Letter #1075 114.52 KB Iowa Medicaid Pharmacy Program Changes 2011/11/21
Coverage of Actos and Metrocream 11.81 KB 2011/11/15
Informational Letter #1071 90.68 KB Pharmacy Program Changes *Replaces Informational Letter 1061 2011/11/03
Informational Letter #1054 33.68 KB PDL Changes Effective October 24, 2011 2011/09/22
Informational Letter #1045 66.01 KB Fifteen Day Initial Prescription Supply of Select Medications 2011/08/25
Informational Letter #1019 125.12 KB PDL Changes Effective July 18, 2011 2011/06/27
POS Downtime on June 5, 2011 10.59 KB 2011/05/27
Informational Letter #1012 82.22 KB NCPDP 5.1 Payer Sheet Changes Effective July 11, 2011 2011/05/18
Iowa Medicaid Specialty Drug List Effective April 25, 2011 59.65 KB 2011/04/05
SMAC Changes Effective April 2, 2011 7.07 KB 2011/03/25
Informational Letter #994 93.87 KB PDL Changes Effective April 25, 2011 2011/02/11
Informational Letter #988 108.26 KB Iowa Medicaid Pharmacy Program Changes Effective March 14, 2011 2011/02/11
Coverage of Lidocaine/Prilocaine Cream 9.41 KB 2010/12/28
PDL Changes Effective January 1, 2011 37.81 KB 2010/12/02
Coverage of Legend Benzoyl Peroxide 13.2 KB 2010/10/11
PDL Changes Effective October 18, 2010 72.78 KB 2010/10/04
Iowa Medicaid Specialty Drug List Effective 10-18-10 56.12 KB 2010/08/25
SMAC Changes Effective September 17, 2010 7.03 KB 2010/08/16
SMAC Changes Effective August 13, 2010 6.8 KB 2010/07/23
SMAC Changes Effective July 16, 2010 6.82 KB 2010/07/13
Informational Letter #909 41.3 KB Electronic Payment and Information Letters 2010/07/02
SMAC Changes Effective May 14, 2010 7.86 KB 2010/05/13
Informational Letter #903 39.18 KB PDL Changes Effective May 24, 2010 2010/04/26
Coverage of Legend Benzoyl Peroxide 11.29 KB 2010/03/25
Informational Letter #890 19.71 KB Electronic Remittance Advice 2010/03/10
Informational Letter #889 34.41 KB Iowa Medicaid Pharmacy Program Changes 2010/02/26
Coverage of H1N1 Vaccines 10.35 KB 2010/02/19
Informational Letter #865 21.7 KB 2010/02/02
Iowa Medicaid Enterprise Phone Information 11.66 KB 2010/01/25
Informational Letter #877 85.97 KB Third Notice Regarding Changes to Remittance Advice, Payment and Informational Letters 2010/01/25
Nonprescription Drug Maximum Allowable Cost (MAC) List 67.25 KB 2010/01/18
Duragesic and Fentanyl Transdermal Patches Update 16.54 KB 2009/12/18
Informational Letter #857 42.53 KB PDL Changes Effective January 1, 2010 2009/11/25
Informational Letter #860 85.66 KB Second Notice Regarding Changes to Remittance Advice, Payment and Informational Letters. 2009/11/25
SMAC Changes Effective 12-1-09 16.67 KB 2009/11/19
Iowa Medicaid Speciality Drug List Effective 12/01/09 297.61 KB 2009/11/09
Acyclovir Suspensions Update 7.51 KB 2009/10/28
Informational Letter #847 105.36 KB Changes Regarding Remittance Advice, Payment and Informational Letters 2009/10/28
Ranitidine Syrup and Zantac Syrup Update 7.69 KB 2009/10/12
Informational Letter #842 34.54 KB PDL changes effective November 1, 2009 2009/10/02
Informational Letter #832 27.04 KB First DataBank, Medi-Span and McKesson AWP Litigation Settlements Update 2009/08/31
Informational Letter #820 38.12 KB PDL changes Effective August 31, 2009 2009/07/22
Cefdinir and Isotretinoin Update 7.61 KB 2009/07/16
Pharmacy Fax Blast 6-4-09 7.31 KB 2009/06/04
Effexor, Keppra, Lamictal, Lamotrigine, Levetiracetam, Venlafaxine Update 8.35 KB 2009/05/13
Informational Letter #804 36.56 KB PDL changes Effective June 15, 2009 2009/05/11
Raptiva Withdrawal 134.41 KB 2009/05/08
Change in Payment Status for Legend Polyethylene Glycol 3350 (PEG) Products 19.87 KB 2009/05/04
Informational Letter #794 43.92 KB PDL Changes effective 4.20.09 2009/03/26
Iowa Medicaid Quantity Limits (02/27/09) 26.03 KB 2009/03/12
OTC Cetirizine Update 16.74 KB 2009/02/27
Risperdal Update 16.14 KB 2009/02/12
Revisions to the PDL Regarding Papain Containing Products 11.73 KB 2009/01/30
PDL Effective 01/01/09 11.73 KB 2009/01/30
PDL Effective 01/01/09 360.29 KB 2009/01/30
Iowa Medicaid Quantity Limits (01/30/09) 23.56 KB 2009/01/30
SMAC Update Effective 02/04/2009 16.69 KB 2009/01/26
Informational Letter #768 40.16 KB Changes to the Preferred Drug List Effective 1-1-09 2008/11/26
Informational Letter #756 37.53 KB Changes to Preferred Drugs List Effective 10-27-08 2008/10/02
FDA Effort to Remove Unapproved Drugs From the Market 1.43 MB 2008/08/28
Informational Letter #728 39.1 KB Changes to the Preferred Drug List effective July 28, 2008 2008/07/18
Iowa Medicaid Quantity Limits (7/28/08) 24.42 KB 2008/07/14
Informational Letter #724 20.6 KB The legislature appropriated changes in reimbursement rates to several Medicaid provider types for dates of service on or after July 1, 2008. 2008/06/26
Flood and Tornado Pharmacy Services 10.53 KB 2008/06/24
PDL Effective 05/19/08 507.82 KB 2008/05/14
Informational Letter #710 24.19 KB Preferred Status Change in Short-Acting Beta Adrenergic HFA Metered Dose Inhaler (MDI) Preferred Drug List (PDL) Class 2008/04/29
Informational Letter #703 44.63 KB Coverage of Drugs Used for Smoking Cessation for IowaCare Members 2008/04/15
Glucagon Rescue Kits 21.5 KB The IME will allow a 90 day transition period where both “Glucagon Emergency Kit” by Eli Lilly and Company and “GlucaGen Hypo Kit” by Novo Nordisk will be preferred drugs on the PDL. Following this transition period, Glucagon Emergency Kits will be a non-preferred drug on the PDL and GlucaGen Hypo Kit will be the only preferred agent. 2008/03/31
Informational Letter #697 102.08 KB Iowa Medicaid Pharmacy Changes Effective 4.30.08 2008/03/31
PDL Effective 02-18-08 521.36 KB 2008/02/14
Informational Letter #679 32.57 KB Chantix and Prescriber Billing for Smoking Cessation Counseling Office Visit 2008/02/04
Informational Letter #679 32.57 KB Chantix and Prescriber Billing for Smoking Cessation Counseling Office Visit 2008/02/04
Informational Letter #678 32.58 KB IowaCare covers Chantix and Prescriber Billing for Smoking Cessation Counseling Office Visit 2008/02/04
Informational Letter 668 41.38 KB Smoking Cessation Program for IowaCare Recipients 2007/12/28
Alpha List Effective 01/01/08 385.65 KB 2007/12/27
Brands Preferred over Generics 01/01/08 18.15 KB 2007/12/27
PDL Effective 01/01/08 385.65 KB 2007/12/21
Suspension of Select Quantity Limits for Iowa Medicaid 20.33 KB 2007/11/29
Draft PDL 11-8-07 393.66 KB 2007/10/11
Tamper-Resistant Prescription Drug Pads 21.5 KB 10/01/2007 implementation of tamper-resistant prescription drug pads has been delayed until 4/1/08. 2007/10/02
Informational Letter 644 30.18 KB Changes to the Preferred Drug List (PDL) 2007/09/25
OTC by Therapeutic Category 09-06-07 21.09 KB 2007/09/18
Agenda-September-13-2007 39.02 KB 2007/09/07
Tamper-Resistant Prescription Drug Pads for Covered Outpatient Drugs 55.49 KB 2007/08/31
Draft-PDL-9-13-07 514.58 KB 2007/08/03
Alpha List 7-30-07 290.16 KB 2007/07/16
PDL Effective 7-30-07 501.11 KB 2007/07/16
Brands Preferred over Generics 07-30-07 18.61 KB 2007/07/16
Common Billing Errors 10.61 KB 2007/07/09
Informational Letter 629 36.12 KB PDL Changes June 2007 2007/06/28
IAPOP 5.1 Payer Sheet 400.34 KB 2007/06/08
Informational Letter 617 21.63 KB 2007/05/22
Draft PDL 06-14-07 507.32 KB 2007/05/22
Agenda June 14, 2007 38.96 KB 2007/05/22
Sertraline Tablets 6.49 KB 2007/04/24
OTC Drug List 142.52 KB 2007/04/13
Informational Letter #487 27.02 KB 2007/04/13
Draft PDL for March 9, 2006 P & T Committee Meeting 361.37 KB 2007/04/13
IME Part D Faxt Blast December 30, 2005 35.42 KB 2007/04/13
PA Criteria Chart Effective 1-16-06 124.79 KB 2007/04/13
Changes in DESI Code 55.86 KB 2007/03/30
PDL Effective 4-23-07 524.17 KB 2007/03/20
Informational Letter 589 141.18 KB 2007/03/16
Pharmacy Fax Blast 03.09.2007 62.26 KB 2007/03/12
Informational Letter 581 117.55 KB 2007/03/01
Tentative Agenda for March 8, 2007 P&T Committee Meeting 523.94 KB 2007/02/28
Smoking Cessation Part D 79.28 KB 2007/02/28
Informational Letter 576 109.06 KB 2007/02/22
Internal Audit on SMAC Claims 39.16 KB 2007/02/22
Fax Blast Dispensing Fee Increase 2-16-2007 61.43 KB 2007/02/20
National Provider Identifier (NPI) 82.78 KB 2007/02/15
NPI Frequently Asked Questions 79.92 KB 2007/02/15
Quinine Coverage by Iowa Medicaid 87.37 KB 2007/02/06
Draft PDL 3-8-07 386.75 KB 2007/02/06
POS Fax Blast 1-18-07 58.78 KB 2007/01/24
Ending of Pay and Chase 56.67 KB 2007/01/16
Informational Letter 543 137.65 KB 2007/01/15
PDL Effective 01-01-07 380.9 KB 2006/12/06
Alpha List Effective 01-01-07 298.88 KB 2006/12/06
Informational Letter 552 154.16 KB 2006/12/04
Informational Letter 533 133.22 KB 2006/10/31
PA Criteria Chart Effective October 30, 2006 66.9 KB 2006/10/23
Alpha List 297.87 KB 2006/10/19
Draft PDL for the November 9, 2006 P & T Committee Meeting 373.12 KB 2006/10/12
PDL Effective 10-30-06 372.21 KB 2006/10/04
Informational Letter 529 159.42 KB 2006/09/29
PA Criteria Chart Effective July 17, 2006 62.92 KB 2006/09/22
Tentative Agenda For September 14th P&T Committee Meeting 40.42 KB 2006/08/29
Draft PDL For September 14th P&T Committee Meeting 375.99 KB 2006/08/09
Iowa Medicaid PDL Available on ePocrates 10.38 KB 2006/07/26
Informational Letter #501 17.89 KB 2006/06/21
PDL Effective 5-22-2006 366.36 KB 2006/05/25
Medicare Part D Excluded Drug List 83.88 KB 2006/05/23
June 8, 2006 P & T Committee Agenda 42.28 KB 2006/05/23
Draft PDL for June 8th P&T Committee Meeting 368.18 KB 2006/05/18
Pharmacy Fax Blast 5-16-2006 19.5 KB 2006/05/17
OTC Payable List by NDC 240.14 KB 2006/05/01
Informational Letter #497 17.05 KB Proper Crediting Iowa Medicaid for Return of Drugs 2006/05/01
Informational Letter #496 15.21 KB State Fiscal Year 2005-2006 3% Dispensing Fee Increase 2006/05/01
Medicare Part D Coverage of Niaspan and Niacor for Dual Eligibles 7.72 KB 2006/04/20
CMS Clarification of Coverage of Prescription Niacin Under Part D 100.69 KB 2006/04/20
Pharmacy Fax Blast -April 14, 2006 28.5 KB 2006/04/14
Pharmacy Dispensing Fee Increase 6.94 KB 2006/04/11
Information Letter #490 23.55 KB PDL Changes Effective May 1, 2006 2006/04/04
Pharmacy Fax Blast March 15, 2006 19 KB 2006/03/16
Newly Released Generic Drugs and Dosage Forms & Strengths for March P & T Meeting 19.5 KB 2006/02/14
Fax Blast 2-08-06 19.5 KB 2006/02/13
PDL Effective 02-18-06 361.78 KB 2006/02/07
Part D, Part D Excluded, Part B Chart 40.38 KB 2006/02/07
Brands Preferred over Generics 37.17 KB 2006/01/31
POS Facilitated Enrollment Process in 4 Steps for Pharmacists 64.27 KB 2006/01/23
Pharmacy Fax Blast January 10, 2006 38.5 KB 2006/01/11
Point-of-Sale Facilitated Enrollment of Dual Beneficiaries 17.54 KB 2006/01/04
PDL Effective 01-16-06 509.13 KB 2005/12/20
Informational Letter #479 20.98 KB PDL Changes Effective 01-16-06 2005/12/19
DRAFT PDL for the December P & T Meeting 498.54 KB 2005/11/08
December 8, 2005 P & T Agenda 70.8 KB 2005/11/01
December 9, 2005 P & T Agenda 26.15 KB 2005/11/01
Informational Letter 473 25.8 KB Iowa Medicaid Update On Non-Covered Category Of Drugs 2005/09/29
Informational Letter 471 57.31 KB Prescription Benefit Updates 2005/09/19
Informational Letter 470 46.65 KB Drug Prior Authorization Updates 2005/09/19
Pharmacy Fax Blast August 25, 2005 17.8 KB 2005/08/26
September 1, 2005 P&T Agenda 74.31 KB 2005/07/28
Pharmacy Fax Blast July 13, 2005 32 KB 2005/07/13
Pharmacy Fax Blast June 27, 2005 25.5 KB 2005/06/29
Pharmacy Fax Blast - June 26, 2005 36.5 KB 2005/06/27
Pharmacy Fax Blast 6-24-05 51.13 KB 2005/06/24
Pharmacy Fax Blast 6-14-05 35.79 KB 2005/06/14
CMS Supplement to Release #135 26.64 KB 2005/01/21
CMS Supplement #2 to Release #135 100.43 KB 2005/01/21
Pharmacy Fax Blast 1-20-05 44.3 KB 2005/01/21
CMS Release #135 86.04 KB 2005/01/21
Calcium Channel Blockers 75 KB 2005/01/17
Override Codes 19.01 KB 2005/01/10
Prior Authorizations 18.21 KB 2005/01/10
Medicaid Drug Claims for Retro-Eligible Members 9.95 KB 2005/01/10
Are new drugs included on the PDL? 8.83 KB 2005/01/10
Informational Letter #399 8.55 MB Iowa Medicaid Preferred Drug List Information 2005/01/03