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Home
PDL / PA
expand_more
Preferred Drug Lists
PA Forms
Prior Authorization Criteria
New Drug Process
Policy for Review of Drug Status
Appeals & Exception to Policy
CDC Guidelines
(External link)
Info Letters / Provider Info
expand_more
Informational Letters
Latest news
Listserv
Fax Confidentiality Certificate
Billing Information
expand_more
Billing / Quantity Limits
340B
Frequently Asked Questions
Payer Sheet
Committee / Public Comments
expand_more
P&T Committee Information
Public Comments
Drugs for Rare Diseases
Rebate Info
expand_more
expand_more
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Section
Preferred Drug Lists
Current PDL
Brands Preferred Over Generics Effective October 1, 2024
Fifteen Day Initial Prescription Supply Limit List Effective October 1, 2024
90-Day Supply Allowance Prescription List Effective October 1, 2024
PDL - Effective October 1, 2024
Nonprescription drugs
PDL nonprescription therapeutics by category
Part D
Part D Excluded Drugs - Effective June 14, 2023
Archives
PDL - Effective July 1, 2024
PDL Brands preferred over generics - Effective June 1, 2024
PDL - Effective June 1, 2024
PDL 15 Day Rx Supply Limit - Effective June 1, 2024
PDL - Effective January 5, 2024
PDL nonprescription drug list by therapeutic category
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