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PDL Effective June 1, 2023 698.1 KB |
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2023/05/02 |
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PDL Effective April 1, 2023 710.19 KB |
|
2023/02/27 |
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Fifteen Day Initial Prescription Supply Limit List Effective April 1, 2023 60.04 KB |
|
2023/02/27 |
|
Preferred / Recommended Drug List Effective January 1, 2023 225.87 KB |
|
2022/12/12 |
|
Alpha List Effective January 1, 2023 306.39 KB |
|
2022/12/12 |
|
PDL Effective January 1, 2023 711.54 KB |
|
2022/11/30 |
|
Brands Preferred Over Generics Effective January 1, 2023 38.9 KB |
|
2022/11/30 |
|
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 219.15 KB |
|
2022/10/19 |
|
Preferred / Recommended Drug List Effective October 1, 2022 219.21 KB |
|
2022/09/13 |
|
Alpha List Effective October 1, 2022 289 KB |
|
2022/09/13 |
|
PDL Effective October 1, 2022 711.58 KB |
|
2022/08/30 |
|
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 202.94 KB |
|
2022/07/26 |
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PDL Effective August 1, 2022 740.81 KB |
|
2022/06/22 |
|
Alpha List Effective June 1, 2022 301.02 KB |
|
2022/05/23 |
|
Preferred / Recommended Drug List Effective June 1, 2022 228.77 KB |
|
2022/05/23 |
|
PDL Effective June 1, 2022 741.09 KB |
|
2022/05/05 |
|
Brands Preferred Over Generics Effective June 1, 2022 41.56 KB |
|
2022/04/22 |
|
Alpha List Effective January 1, 2022 299.36 KB |
|
2021/12/08 |
|
Preferred / Recommended Drug List Effective January 1, 2022 222.2 KB |
|
2021/12/08 |
|
PDL Effective January 1, 2022 726.98 KB |
|
2021/11/30 |
|
Brands Preferred Over Generics Effective January 1, 2022 44.71 KB |
|
2021/11/19 |
|
PDL Effective October 1, 2021 715.2 KB |
|
2021/08/19 |
|
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category. 210.11 KB |
|
2021/07/23 |
|
PDL Effective July 1, 2021 695.28 KB |
|
2021/05/24 |
|
Preferred / Recommended Drug List Effective June 1, 2021 221.29 KB |
|
2021/05/10 |
|
Alpha List Effective June 1, 2021 295.1 KB |
|
2021/05/10 |
|
PDL Effective June 1, 2021 696.27 KB |
|
2021/04/26 |
|
Brands Preferred Over Generics Effective June 1, 2021 33.77 KB |
|
2021/04/26 |
|
Preferred / Recommended Drug List Effective January 1, 2021 226.22 KB |
|
2021/01/06 |
|
Preferred / Recommended Drug List Effective January 1, 2021 226.22 KB |
|
2020/12/15 |
|
Alpha List Effective January 1, 2021 297.19 KB |
|
2020/12/15 |
|
PDL Effective January 1, 2021 710.6 KB |
|
2020/12/02 |
|
Brands Preferred Over Generics Effective January 1, 2021 34.23 KB |
|
2020/11/19 |
|
PDL Effective November 1, 2020 704.91 KB |
|
2020/09/22 |
|
PDL Effective October 1, 2020 710.5 KB |
|
2020/09/01 |
|
Brands Preferred Over Generics Effective October 1, 2020 34.07 KB |
|
2020/08/24 |
|
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 270.11 KB |
|
2020/05/29 |
|
Brands Preferred Over Generics Effective May 1, 2020 37 KB |
|
2020/04/29 |
|
PDL Effective February 1, 2020 686.18 KB |
|
2020/01/27 |
|
Alpha List Effective January 1, 2020 302.29 KB |
|
2019/12/24 |
|
Preferred / Recommended Drug List Effective January 1, 2020 229.47 KB |
|
2019/12/24 |
|
PDL Effective January 1, 2020 687.79 KB |
|
2019/12/05 |
|
Brands Preferred Over Generics Effective January 1, 2020 33.36 KB |
|
2019/11/26 |
|
Fifteen Day Initial Prescription Supply Limit List Effective January 1, 2020 110.7 KB |
|
2019/11/25 |
|
Preferred / Recommended Drug List Effective October 1, 2019 214.5 KB |
|
2019/08/28 |
|
Alpha List Effective October 1, 2019 287.22 KB |
|
2019/08/28 |
|
PDL Effective October 1, 2019 686.55 KB |
|
2019/08/28 |
|
Brands Preferred Over Generics Effective October 1, 2019 78.08 KB |
|
2019/08/26 |
|
Alpha List Effective June 1, 2019 286.66 KB |
|
2019/05/03 |
|
Preferred / Recommended Drug List Effective June 1, 2019 214.38 KB |
|
2019/05/03 |
|
PDL Effective June 1, 2019 681.59 KB |
|
2019/05/02 |
|
Fifteen Day Initial Prescription Supply Limit List Effective June 1, 2019 81.11 KB |
|
2019/05/01 |
|
Brands Preferred Over Generics Effective June 1, 2019 79.55 KB |
|
2019/04/30 |
|
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 279.84 KB |
|
2019/04/23 |
|
Medicare Part D Excluded Drug List 112.56 KB |
|
2019/01/11 |
|
Alpha List Effective January 1, 2019 663.2 KB |
|
2018/12/17 |
|
Preferred / Recommended Drug List Effective January 1, 2019 215.36 KB |
|
2018/12/17 |
|
PDL Effective January 1, 2019 673.56 KB |
|
2018/11/26 |
|
Brands Preferred Over Generics Effective January 1, 2019 79.36 KB |
|
2018/11/21 |
|
Preferred / Recommended Drug List Effective October 1, 2018 214.42 KB |
|
2018/09/13 |
|
Alpha List Effective October 1, 2018 591.04 KB |
|
2018/09/13 |
|
Brands Preferred Over Generics Effective October 1, 2018 78.31 KB |
|
2018/08/30 |
|
PDL Effective October 1, 2018 670.33 KB |
|
2018/08/30 |
|
Preferred / Recommended Drug List Effective June 1, 2018 214.15 KB |
|
2018/05/14 |
|
Alpha List Effective June 1, 2018 281.74 KB |
|
2018/05/11 |
|
Brands Preferred Over Generics Effective June 1, 2018 77.17 KB |
|
2018/04/26 |
|
PDL Effective June 1, 2018 396.39 KB |
|
2018/04/26 |
|
Fifteen Day Initial Prescription Supply Limit List Effective June 1, 2018 75.28 KB |
|
2018/04/26 |
|
Nonprescription (OTC) Prescribed Drug List by Therapeutic Category 237.56 KB |
|
2018/02/19 |
|
PDL Effective January 12, 2018 670.43 KB |
|
2018/01/25 |
|
Medicare Part D Excluded Drug List 107.26 KB |
|
2018/01/08 |
|
Preferred / Recommended Drug List Effective January 1, 2018 214.25 KB |
|
2017/12/01 |
|
Alpha List Effective January 1, 2018 280.48 KB |
|
2017/12/01 |
|
PDL Effective January 1, 2018 669.52 KB |
|
2017/11/28 |
|
Brands Preferred Over Generics Effective January 1, 2018 23.92 KB |
|
2017/11/28 |
|
Alpha List Effective October 1, 2017 277.6 KB |
|
2017/09/14 |
|
Preferred / Recommended Drug List Effective October 1, 2017 214.04 KB |
|
2017/09/14 |
|
PDL Effective October 1, 2017 664.89 KB |
|
2017/09/06 |
|
PDL Effective October 1, 2017 664.89 KB |
|
2017/08/30 |
|
Brands Preferred Over Generics Effective October 1, 2017 24.17 KB |
|
2017/08/25 |
|
Nonprescription Drug List by NDC 159.24 KB |
|
2017/08/18 |
|
Alpha List Effective June 1, 2017 569.27 KB |
|
2017/05/22 |
|
Preferred / Recommended Drug List Effective June 1, 2017 214.81 KB |
|
2017/05/22 |
|
PDL Effective June 1, 2017 659.59 KB |
|
2017/05/01 |
|
Brands Preferred Over Generics Effective June 1, 2017 26.77 KB |
|
2017/05/01 |
|
Preferred / Recommended Drug List Effective January 13, 2017 214.99 KB |
|
2017/01/12 |
|
Alpha List Effective January 13, 2017 569.75 KB |
|
2017/01/12 |
|
PDL Effective January 13, 2017 388.29 KB |
|
2017/01/11 |
|
PDL Effective January 1, 2017 655.95 KB |
|
2016/11/30 |
|
Alpha List Effective January 1, 2017 566.11 KB |
|
2016/11/30 |
|
Preferred / Recommended Drug List Effective January 1, 2017 214.65 KB |
|
2016/11/30 |
|
Brands Preferred Over Generics Effective January 1, 2017 25.9 KB |
|
2016/11/22 |
|
Non-Drug Product List Effective January 1, 2017 36.7 KB |
|
2016/11/22 |
|
Preferred / Recommended Drug List Effective October 1, 2016 214.31 KB |
|
2016/09/16 |
|
Alpha List Effective October 1, 2016 562.82 KB |
|
2016/09/16 |
|
PDL Effective October 1, 2016 648.62 KB |
|
2016/09/09 |
|
PDL Effective October 1, 2016 649.07 KB |
|
2016/08/30 |
|
Nonprescription Drug List by NDC 158.04 KB |
|
2016/08/29 |
|
Brands Preferred Over Generics Effective October 1, 2016 26.35 KB |
|
2016/08/25 |
|
PDL Effective June 1, 2016 636.94 KB |
|
2016/06/02 |
|
PDL Effective June 1, 2016 636.94 KB |
|
2016/06/01 |
|
Brands Preferred Over Generics Effective June 1, 2016 24.25 KB |
|
2016/05/02 |
|
PDL Effective June 1, 2016 635.34 KB |
|
2016/05/02 |
|
Preferred / Recommended Drug List Effective June 1, 2016 214.86 KB |
|
2016/05/02 |
|
Alpha List Effective June 1, 2016 564.38 KB |
|
2016/05/02 |
|
Preferred / Recommended Drug List Effective January 1, 2016 214.95 KB |
|
2015/12/17 |
|
Alpha List Effective January 1, 2016 556.47 KB |
|
2015/12/16 |
|
PDL Effective January 1, 2016 629.42 KB |
|
2015/12/10 |
|
PDL Effective January 1, 2016 629.57 KB |
|
2015/12/01 |
|
Brands Preferred Over Generics Effective January 1, 2016 24.12 KB |
|
2015/11/30 |
|
Nonprescription Drug List by NDC 156.7 KB |
|
2015/10/19 |
|
Alpha List Effective October 1, 2015 550.29 KB |
|
2015/09/29 |
|
Preferred / Recommended Drug List Effective October 1, 2015 214.71 KB |
|
2015/09/29 |
|
PDL Effective October 1, 2015 593.82 KB |
|
2015/09/08 |
|
Brands Preferred Over Generics Effective October 1, 2015 27.58 KB |
|
2015/09/02 |
|
Brands Preferred Over Generics Effective June 1, 2015 27.63 KB |
|
2015/04/23 |
|
Fifteen Day Initial Prescription Supply Limit List Effective June 1, 2015 21.89 KB |
|
2015/04/23 |
|
PDL Effective June 1, 2015 590.21 KB |
|
2015/04/23 |
|
PDL Effective January 23, 2015 584.54 KB |
|
2015/01/08 |
|
PDL Effective January 1, 2015 610.4 KB |
|
2014/12/17 |
|
Preferred / Recommended Drug List Effective January 1, 2015 218.64 KB |
|
2014/12/04 |
|
Alpha List Effective January 1, 2015 549.25 KB |
|
2014/12/04 |
|
Brands Preferred Over Generics Effective January 1, 2015 24.73 KB |
|
2014/12/01 |
|
PDL Effective January 1, 2015 611.05 KB |
|
2014/11/25 |
|
Non-Drug Product List Effective January 1, 2015 12.64 KB |
|
2014/11/24 |
|
Fifteen Day Initial Prescription Supply Limit List Effective January 1, 2015 20.94 KB |
|
2014/11/24 |
|
Nonprescription Drug List by NDC 160.96 KB |
|
2014/11/06 |
|
Alpha List Effective October, 1, 2014 546.01 KB |
|
2014/10/16 |
|
PDL Effective October 1, 2014 583.82 KB |
|
2014/09/04 |
|
Brands Preferred Over Generics Effective October 1, 2014 21.94 KB |
|
2014/08/22 |
|
Non-Drug Product List Effective July 16, 2014 12.68 KB |
|
2014/07/16 |
|
PDL Effective July 21, 2014 590.85 KB |
|
2014/06/18 |
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Preferred / Recommended Drug List Effective June 1, 2014. 250.63 KB |
|
2014/05/27 |
|
Alpha List Effective June 1, 2014 541.49 KB |
|
2014/05/13 |
|
Brands Preferred Over Generics Effective June 1, 2014 21.95 KB |
|
2014/05/06 |
|
PDL Effective June 1, 2014 579.21 KB |
|
2014/05/05 |
|
PDL Effective June 1, 2014 579.21 KB |
|
2014/05/01 |
|
Medicare Part D Excluded Drug List 39.02 KB |
|
2014/01/21 |
|
Alpha List Effective January 1, 2014 246.9 KB |
|
2013/12/04 |
|
Preferred / Recommended Drug List Effective January 1, 2014 235.48 KB |
|
2013/12/04 |
|
PDL Effective January 1, 2014 597.65 KB |
|
2013/12/02 |
|
Non-Drug Product List Effective November 15, 2013 12.13 KB |
|
2013/11/15 |
|
Medicare Part D Excluded Drug List 107.92 KB |
|
2013/09/30 |
|
Medicare Part D Excluded Drug List 25.89 KB |
|
2013/09/27 |
|
Preferred/Recommended Drug List Effective October 1, 2013 235.22 KB |
|
2013/09/10 |
|
Alpha List Effective October 1, 2013 244.08 KB |
|
2013/09/10 |
|
Brands Preferred Over Generics Effective October 1, 2013 70.59 KB |
|
2013/09/05 |
|
PDL Effective October 1, 2013 405.72 KB |
|
2013/09/03 |
|
Non-Drug Product List Effective February 1, 2013 30.76 KB |
|
2013/07/10 |
|
Fifteen Day Initial Prescription Supply Limit List Effective July 1, 2013 97.61 KB |
|
2013/05/21 |
|
PDL Effective May 1, 2013 385.68 KB |
|
2013/05/13 |
|
PDL Effective May 1, 2013 386.83 KB |
|
2013/05/10 |
|
PDL Effective May 1, 2013 386.93 KB |
|
2013/05/09 |
|
Brands Preferred Over Generics Effective May 3, 2013 21.6 KB |
|
2013/05/07 |
|
PDL Effective May 1, 2013 387.11 KB |
|
2013/05/02 |
|
PDL Effective May 1, 2013 598.13 KB |
|
2013/04/03 |
|
Alpha List Effective May 1, 2013 246.82 KB |
|
2013/04/01 |
|
Preferred / Recommended Drug List Effective May 1, 2013 224.36 KB |
|
2013/04/01 |
|
Brands Preferred Over Generics Effective May 1, 2013 21.6 KB |
|
2013/03/18 |
|
Nonprescription Drug List by NDC 162.8 KB |
|
2013/02/20 |
|
Non-Drug Product List Effective February 1, 2013 12.12 KB |
|
2013/01/30 |
|
Nonprescription Drug List by NDC 161.22 KB |
|
2013/01/30 |
|
Preferred/Recommended Drug List Effective January 1, 2013 219.73 KB |
|
2012/12/11 |
|
PDL Effective January 1, 2013 587.84 KB |
|
2012/11/30 |
|
PDL Effective January 1, 2013 379.1 KB |
|
2012/11/27 |
|
Medicare Part D Excluded Drug List 39.97 KB |
|
2012/11/15 |
|
Brands Preferred Over Generics Effective January 1, 2013 27.84 KB |
|
2012/11/14 |
|
Non-Drug Product List 12.61 KB |
|
2012/10/30 |
|
PDL Effective October 22, 2012 551.12 KB |
|
2012/09/14 |
|
Brands Preferred Over Generics Effective October 22, 2012 24.02 KB |
|
2012/09/14 |
|
Alpha List Effective October 22, 2012 231.1 KB |
|
2012/09/14 |
|
Non-Drug Product List 12.59 KB |
|
2012/08/20 |
|
Alpha List Effective July 30, 2012 231 KB |
|
2012/06/28 |
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Preferred / Recommended Drug List Effective July 30, 2012 217.55 KB |
|
2012/06/28 |
|
Brands Preferred Over Generics Effective July 30, 2012 25.38 KB |
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2012/06/28 |
|
PDL Effective July 30, 2012 360.69 KB |
|
2012/06/27 |
|
Preferred / Recommended Drug List Effective April 9, 2012 217.26 KB |
|
2012/03/29 |
|
Alpha List Effective April 9, 2012 233.82 KB |
|
2012/03/29 |
|
Brands Preferred Over Generics Effective April 9, 2012 21.97 KB |
|
2012/03/22 |
|
PDL Effective April 9, 2012 362.28 KB |
|
2012/03/21 |
|
Non Drug Product List 12.59 KB |
|
2012/03/20 |
|
Medicare Part D Excluded Drug List 20.48 KB |
|
2012/03/20 |
|
PDL Effective January 1, 2012 359.49 KB |
|
2012/01/05 |
|
PDL Effective January 1, 2012 552.07 KB |
|
2012/01/05 |
|
Nonprescription Drug List by NDC 153.14 KB |
|
2011/12/28 |
|
Nonprescription Drug List by NDC 156.03 KB |
|
2011/12/28 |
|
Preferred / Recommended Drug List Effective January 1, 2012 220.34 KB |
|
2011/12/13 |
|
Alpha List Effective January 1, 2012 229.15 KB |
|
2011/12/13 |
|
Brands Preferred Over Generics Effective January 1, 2012 18.43 KB |
|
2011/12/06 |
|
Brands Preferred Over Generics Effective October 24, 2011 18.76 KB |
|
2011/12/05 |
|
Nonpresription Drugs Maximum Allowable Cost (MAC) List 100.53 KB |
|
2011/12/05 |
|
Nonpresription Drugs Maximum Allowable Cost (MAC) List 65.11 KB |
|
2011/12/05 |
|
Fifteen Day Initial Prescription Supply Limit List 17.7 KB |
|
2011/11/23 |
|
Nonprescription Drug List by Therapeutic Category 61.76 KB |
|
2011/11/09 |
|
Nonprescription Drug List by Therapeutic Category 60.56 KB |
|
2011/11/09 |
|
Non-Drug Product List 12.58 KB |
|
2011/11/08 |
|
Fifteen Day Initial Prescription Supply Limit List 17.69 KB |
|
2011/10/12 |
|
Fifteen Day Initial Prescription Supply Limit List 17.98 KB |
|
2011/09/16 |
|
Fifteen Day Initial Prescription Supply Limit List 104.56 KB |
|
2011/09/14 |
|
Alpha List Effective October 24, 2011 231.37 KB |
|
2011/09/14 |
|
PDL Effective October 24, 2011 553.98 KB |
|
2011/09/13 |
|
Fifteen Day Initial Prescription Supply Limit List 17.67 KB |
|
2011/09/12 |
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PDL Effective September 1, 2011 923.84 KB |
|
2011/08/08 |
|
Fifteen Day Initial Prescription Supply Limit List 87.73 KB |
|
2011/08/02 |
|
Medicare Part D Excluded Drug List 19.14 KB |
|
2011/07/13 |
|
Preferred/Recommended Drug List Effective July 18, 2011 220.15 KB |
|
2011/07/08 |
|
Alpha List Effective July 18, 2011 230.69 KB |
|
2011/07/08 |
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PDL Effective July 18, 2011 895.14 KB |
|
2011/06/28 |
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Brands Preferred Over Generics Effective July 18, 2011 15.48 KB |
|
2011/06/27 |
|
Mental Health Drugs Approved for 7 Day Override 57.38 KB |
|
2011/04/27 |
|
Preferred/Recommended Drug List Effective April 25, 2011 216.53 KB |
|
2011/04/15 |
|
Alpha List Effective April 25, 2011 231.93 KB |
|
2011/04/15 |
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PDL Effective April 25, 2011 551.9 KB |
|
2011/03/31 |
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Brands Preferred Over Generics Effective April 25, 2011 15.81 KB |
|
2011/03/21 |
|
Brands Preferred Over Generics Effective January 1, 2011 15.77 KB |
|
2011/03/21 |
|
Nonprescription Drug List by Therapeutic Category 60.74 KB |
|
2011/02/22 |
|
Non-Drug Product List 14.95 KB |
|
2011/02/17 |
|
Non-Drug Product List 15.05 KB |
|
2011/02/17 |
|
Nonprescription Drug List by NDC 152.86 KB |
|
2011/02/16 |
|
PDL Effective January 1, 2011 390.96 KB |
|
2011/02/07 |
|
PDL Effective January 1, 2011 548.38 KB |
|
2011/02/07 |
|
Preferred Venlafaxine ER Tablets by NDC 56.82 KB |
|
2011/01/04 |
|
PDL Effective January 1, 2011 391.84 KB |
|
2010/12/28 |
|
Alpha List Effective January 1, 2011 343.79 KB |
|
2010/12/28 |
|
Preferred/Recommended Drug List Effective January 1, 2011 612.81 KB |
|
2010/12/28 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 101.13 KB |
|
2010/12/10 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) Pricing Breakdown List 101.13 KB |
|
2010/12/10 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) Pricing Breakdown List 95.69 KB |
|
2010/11/24 |
|
Preferred / Recommended Drug List Effective October 18, 2010 251.41 KB |
|
2010/10/13 |
|
Alpha List Effective October 18, 2010 290.64 KB |
|
2010/10/13 |
|
Brands Preferred Over Generics Effective October 18, 2010 15.79 KB |
|
2010/10/05 |
|
PDL Effective October 18, 2010 396.06 KB |
|
2010/10/04 |
|
Preferred Cough and Cold Products (NDC Listing) 101.58 KB |
|
2010/07/28 |
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Alpha List Effective January 1, 2010 294.34 KB |
|
2010/07/20 |
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Preferred / Recommended Drug List Effective May 24, 2010 248.39 KB |
|
2010/06/29 |
|
OTC by Therapeutic Category 63.96 KB |
|
2010/05/28 |
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Brands Preferred Over Generics Effective May 24, 2010 16.79 KB |
|
2010/05/11 |
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PDL Effective May 24, 2010 378.38 KB |
|
2010/05/07 |
|
PDL Effective April 5, 2010 373.54 KB |
|
2010/03/01 |
|
OTC Payable List by NDC 177.53 KB |
|
2010/02/26 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 91.19 KB |
|
2010/02/17 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 90.45 KB |
|
2010/02/17 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 35.84 KB |
|
2010/01/07 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 117.19 KB |
|
2010/01/07 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 115.36 KB |
|
2010/01/07 |
|
PDL Effective November 1, 2009 370.63 KB |
|
2010/01/07 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 90.94 KB |
|
2010/01/07 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 117.07 KB |
|
2010/01/07 |
|
Nonprescription Drug Maximum Allowable Cost (MAC) List 39.11 KB |
|
2010/01/07 |
|
PDL Effective January 1, 2010 382.46 KB |
|
2009/12/31 |
|
PDL Effective January 1, 2010 382.51 KB |
|
2009/12/31 |
|
OTC by Therapeutic Category 64.16 KB |
|
2009/12/09 |
|
Preferred/Recommended Drug List Effective January 1, 2010 358.77 KB |
|
2009/12/04 |
|
Medicare Part D Excluded Drug List 23.5 KB |
|
2009/12/01 |
|
Medicare Part D Excluded Drug List 21.64 KB |
|
2009/12/01 |
|
Brands Preferred Over Generics Effective January 1, 2010 17.71 KB |
|
2009/11/30 |
|
PDL Effective January 1, 2010 382.53 KB |
|
2009/11/30 |
|
OTC by Therapeutic Category 61.2 KB |
|
2009/11/05 |
|
OTC Payable List by NDC 182.41 KB |
|
2009/11/05 |
|
PDL Effective November 1, 2009 393.17 KB |
|
2009/09/29 |
|
Medicare Part D Excluded Drug List 21.42 KB |
|
2009/09/29 |
|
OTC Payable List by NDC 180.95 KB |
|
2009/09/29 |
|
PDL Effective 08-14-09 389.99 KB |
|
2009/08/10 |
|
Alpha List Effective 01/01/09 304.74 KB |
|
2009/08/03 |
|
Alpha List Effective 08/14/09 306.23 KB |
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2009/08/03 |
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PDL Effective August 3, 2009 390.91 KB |
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2009/07/22 |
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Brands Preferred Over Generics Effective August 3, 2009 18.87 KB |
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2009/07/06 |
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Brands Preferred Over Generics Effective June 15, 2009 18.96 KB |
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2009/06/30 |
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Draft RDL from the November 13, 2008 P&T Committee Meeting 132.22 KB |
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2009/05/07 |
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PDL Effective June 15, 2009 359.58 KB |
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2009/05/07 |
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PDL Effective May 8, 2009 362.19 KB |
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2009/05/07 |
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PDL Effective 4/20/09 362.77 KB |
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2009/03/25 |
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Brands Preferred over Generics Effective 04/20/09 19.1 KB |
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2009/03/17 |
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Brands Preferred over Generics Effective 02/04/09 19.16 KB |
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2009/03/17 |
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PDL Effective 2/04/09 359.77 KB |
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2009/02/03 |
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PDL Effective 2/04/09 359.77 KB |
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2009/01/29 |
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PDL with Table of Contents Effective 01/01/09 1.26 MB |
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2008/12/22 |
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Preferred/Recommended drug List Effective 01/01/09 271.65 KB |
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2008/12/22 |
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PDL Effective 01/01/09 360.29 KB |
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2008/12/19 |
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Alpha List Effective 10-27-08 293.65 KB |
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2008/10/21 |
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Brands Preferred over Generics 10-27-08 18.57 KB |
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2008/10/16 |
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Brands Preferred over Generics 07-28-08 (copy) 18.42 KB |
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2008/10/16 |
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PDL Effective 10/27/08 373.69 KB |
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2008/10/06 |
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Alpha List Effective 07/28/08 302.57 KB |
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2008/07/22 |
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PDL Effective 07/28/08 385.43 KB |
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2008/07/22 |
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OTC Payable List by NDC 174.1 KB |
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2008/07/03 |
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OTC Payable List by NDC (copy) 198.18 KB |
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2008/07/03 |
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PDL Effective 05/19/08 507.82 KB |
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2008/05/14 |
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PDL Effective 02-18-08 521.36 KB |
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2008/04/16 |
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PDL Effective 04-30-08 509 KB |
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2008/04/16 |
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PDL Effective 02-18-08 509 KB |
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2008/04/16 |
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Brands Preferred over Generics 01/01/08 18.15 KB |
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2008/04/07 |
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Brands Preferred over Generics 04/21/08 18.75 KB |
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2008/04/07 |
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OTC Drug List by Therapeutic Category 20.87 KB |
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2008/02/20 |
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PDL Effective 01/01/08 524.69 KB |
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2008/01/15 |
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Alpha List Effective 01/01/08 296.67 KB |
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2008/01/15 |
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PDL Effective 10-29-07 509.69 KB |
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2007/12/21 |
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Preferred Cough & Cold Products (NDC Listing) (copy) 126.15 KB |
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2007/11/20 |
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Preferred Cough & Cold Products (NDC Listing) 125.03 KB |
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2007/11/20 |
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Brands Preferred over Generics 10-29-07 18.64 KB |
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2007/10/03 |
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OTC Drug List 21.09 KB |
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2007/09/18 |
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OTC Payable List by NDC (01/01/07) 238.03 KB |
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2007/08/31 |
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Alpha List 7-30-07 290.16 KB |
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2007/07/16 |
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PDL Effective 7-30-07 501.11 KB |
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2007/07/16 |
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Brands Preferred over Generics 07-30-07 18.61 KB |
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2007/07/16 |
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Brands Preferred over Generics 03-07 113.47 KB |
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2007/05/02 |
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Brands Preferred over Generics 44.22 KB |
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2007/05/02 |
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Alpha List Effective 04-23-07 299.28 KB |
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2007/04/24 |
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PDL Effective 4-23-07 501.21 KB |
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2007/04/24 |
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Medicare Part D Excluded Drug List 25.38 KB |
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2007/04/12 |
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OTC Drug List 144.19 KB |
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2007/04/12 |
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Alpha List Effective 01-01-07 285.45 KB |
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2007/01/19 |
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PDL Effective 01-01-07 385.67 KB |
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2007/01/19 |
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Brands Preferred over Generics 1-06 37.17 KB |
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2006/12/22 |
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Preferred Cough & Cold Products (NDC Listing) 127.7 KB |
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2006/12/22 |
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OTC Payable List by NDC 240.14 KB |
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2006/12/14 |
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OTC Drug List 140.61 KB |
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2006/12/14 |
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PDL Effective 6-20-2005 499.52 KB |
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2006/10/27 |
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PDL Effective 10-30-06 372.21 KB |
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2006/10/04 |
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PDL Effective 12-23-2004 407.23 KB |
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2006/09/25 |
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PDL Effective 7-17-06 372.08 KB |
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2006/07/05 |
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PDL Effective 5-22-2006 366.36 KB |
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2006/05/25 |
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PDL Effective 5-1-06 366.84 KB |
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2006/04/07 |
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PDL Effective 02-18-06 361.78 KB |
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2006/02/07 |
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PDL Effective 01-16-06 509.13 KB |
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2005/12/20 |
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PDL Update - 11/16/2005 502.07 KB |
Cilostazol now preferred |
2005/11/22 |
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Preferred / Recommended Drug List 98.25 KB |
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2005/08/01 |
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PDL - One Column Version 168.58 KB |
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2005/02/24 |