nc medicaid preferred drug list 2020

Legend . 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. Effective: January 1, 2020 Bismarck, ND 58505-0250 . 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. 3 0 obj Drug Plan. Brand name drug: Uppercase in bold type . 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. Generic drug: Lowercase in plain type . 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 This is a list of drugs covered by your plan. 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. AL: Age Limit Restrictions . stream Rx (PDP) Medicare Prescription. 2020 Preferred Drug List Humana Medical Plan All Regions PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. Over-the-counter medications and products. NC Medicaid Opioid Safety STOP Act Crosswalk (PDF, 319 KB) FAQ on Naloxone Standing Order (PDF, 251 KB) Provider Considerations for Tapering of Opioids (PDF, 221 KB) Preferred Drug List Opioid Analgesics and Combination Therapy Daily MME (PDF, 389 KB) General Provider Pharmacy Cover Letter - STOP Act (PDF, 137 KB) 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, Oregon Health Plan Preferred Drug List, a list of the most cost-effective drugs to prescribe for fee-for-service members. For an up-to-date list of covered drugs or if you have questions, please call Customer Service. Rx (PDP) Medicare Prescription. 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. The Preferred Drug List below was updated from the September 18, 2020 P&T Committee meeting. Please see your 2020 Formulary document for details. v The Drug List (formulary) may change on January 1 of each year, and from time to time during the plan year. Highlights indicated change from previous posting. Prescribers are encouraged to write prescriptions for “preferred” products. Molina Healthcare of Washington Medicaid Preferred Drug List (Formulary) (11/01/2020) INTRODUCTION. Please see … Drug List by the + symbol. Pharmacy Lock-in Program. 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, December 2019 . endobj Alphabetical by drug therapeutic class - Posted 12/02/20 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. Perform the search via the following steps: Search for a Drug … PREFERRED NON-PREFERRED. Medicaid Preferred Drug List Page Content You may register to receive E-mail notification, when a new Preferred Drug List is posted to the Web site, by completing the form for Preferred Drug List E-Mail Notification Request . December 2019 . In each class, drugs are listed alphabetically by either brand name or generic name. 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. Idaho Medicaid Preferred Drug List with Prior Authorization Criteria. Suprax susp® Trial and failure of 2 Preferred products required prior to Non-Preferred products. Fee-for-service plan only Preferred drug lists (PDL) The Apple Health (Medicaid) Fee-For-Service Preferred Drug List no longer applies. 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 … New York Medicaid Medicaid-Approved Preferred Drug List. Montana Medicaid Preferred Drug List (PDL) Revised October 28, 2020 *Indicates a generic is available without prior authorization This list may not include all available generic formulations listed specifically by name Note: Brand Named Drugs are capitalized, generic drugs start with lower case letters. NC Medicaid Opioid Safety STOP Act Crosswalk (PDF, 319 KB) FAQ on Naloxone Standing Order (PDF, 251 KB) Provider Considerations for Tapering of Opioids (PDF, 221 KB) Preferred Drug List Opioid Analgesics and Combination Therapy Daily MME (PDF, 389 KB) General Provider Pharmacy Cover Letter - STOP Act (PDF, 137 KB) 2020 Preferred Drug List (PDL) - November 2020. AmeriHealth Caritas North Carolina covers certain over-the-counter medications and products. Preferred Drug List (PDL) & Prior Authorization Criteria . 2 0 obj That pledge demands the highest standards of care and service. DO: Dose Optimization Program . Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC North Carolina Division of Health Benefits North Carolina Medicaid and Health Choice Preferred Drug List (PDL) Effective: September 1, 2020 T. Preferred Non-Preferred. The drug should be filled at an in-network pharmacy and … Preferred Drug List – Idaho Health and Welfare. Preferred Drug List (PDL). Blue Cross NC’s prior review, restricted-access, non-formulary exceptions and 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. AmeriHealth Caritas North Carolina covers certain over-the-counter medications and products. DIFFERIN 0.3% GEL PUMP (TOPICAL) (DX CODE REQ.) 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. View the NC Medicaid PDL to find a covered medicine. 2 Preferred Drug List What is the Preferred Drug List? 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. Please note that the South Carolina Medicaid Preferred Drug List is updated quarterly. 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. Details: 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). v The Drug List (formulary) may change on January 1 of each year, and from time to time … <>/Font<>/XObject<>/Pattern<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Our lock-in program assigns members to a specific pharmacy and prescriber provider. Effective December 1, 2020. 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. NC Medicaid would like to share information about recent FDA guidance regarding REMS requirements during the COVID-19 public health emergency. We’re committed to quality. PDL Updated January 1, 2020. Legend . Get email alerts on latest news and upcoming events. 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. 2 Preferred Drug List What is the Preferred Drug List? 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®. Alphabetical by drug name - Posted 11/02/20. This complete list of prescription drugs covered by your plan is current as of September 1, 2019. %���� The 2020 Medicaid Pharmacy Newsletters can be viewed here. 600 E Boulevard Ave Dept 325. 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®. The 2020 Medicaid Pharmacy Newsletters can be viewed here. North Dakota Department of Human Services. Stay up to date with us. To get drugs not on the Preferred Drug List, your provider will need to get prior authorization from Health First Colorado. SPECIAL BULLETIN COVID-19 #25: Emergency Update to NC Medicaid and NC Health Choice Preferred Drug List (PDL) and REMS Program Flexibilities, https://medicaid.ncdhhs.gov/documents/preferred-drug-list, https://www.fda.gov/media/136317/download, albuterol HFA inhaler (generic for Proair® HFA Inhaler / Proventil® HFA Inhaler / Ventolin® HFA Inhaler), levalbuterol HFA inhaler (generic for Xopenex® HFA Inhaler). Providers, please visit our website at NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2001 919-855-4800 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. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC Pharmacy Lock-in Program. Locate contact information for state agencies, employees, hotlines, local offices, and more. 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. In each class, drugs are listed alphabetically by either brand name or generic name. %PDF-1.7 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. Idaho Medicaid Preferred Drug List with Prior Authorization Criteria. Home | UAC | Reference | Site Map. endobj The 2020 Medicaid Pharmacy Newsletters can be viewed on the DHB website. 201 W. Preston Street, Baltimore, MD 21201-2399 (410) 767-6500 or 1-877-463-3464 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. Preferred Drug List (PDL). About Medicaid, who is eligible, how to apply. 4 0 obj This document can assist medical providers in selecting Version 2020.1 . Providers. Over-the-counter medications and products. 201 W. Preston Street, Baltimore, MD 21201-2399 (410) 767-6500 or 1-877-463-3464 View the NC Medicaid PDL to find a covered medicine. 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. 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. NON-PREFERRED –. Welcome to the Nebraska Medicaid program Web site. Note: Preferred Brands with Non-preferred Generics on the Preferred Drug List (PDL) Providers are encouraged to review this important information. Nebraska Medicaid program PDL. Effective December 1, 2020. Telephone. Our lock-in program assigns members to a specific pharmacy and prescriber provider. DO: Dose Optimization Program . The quarterly P&T Committee meeting was held on September 18, 2020. 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. 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. PREFERRED NON-PREFERRED. NC Medicaid and Health Choice Preferred Drug List (PDL) effective Jan. 1, 2020 Please visit https://www.fda.gov/media/136317/download for the current recommendations. is a guide within select therapeutic categories for plan members enrolled in the traditional pharmacy benefit and their health care providers. Preferred Drug List [1.08MB PDF] Updated 10/14/2020. › Verified 3 days ago WELCOME AND INTRODUCTIONS. 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. Our contact information is on the cover. Open the attached list and use the Adobe Acrobat search tool to locate specific drugs by name or HIC3 therapeutic class. New York Medicaid Medicaid-Approved 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 … 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. The. North Dakota Department of Human Services. 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. Preferred Drug List. 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. Suprax susp® Trial and failure of 2 Preferred products required prior to Non-Preferred products. Drug List, a List of prescription drugs covered by your plan ) fee-for-service Preferred Drug List ( PDL the! Of 2 Preferred products required Prior to Non-Preferred products NC Medicaid to obtain better prices for covered outpatient drugs supplemental... Health ( Medicaid ) fee-for-service Preferred Drug List - Traditional Pharmacy Benefit employees, hotlines, local offices and..., drugs are listed alphabetically by either brand name or HIC3 therapeutic class the Committee drugs not the. % GEL PUMP ( TOPICAL ) ( DX CODE REQ. use the Adobe search... - December 2020 New York Medicaid Medicaid-Approved Preferred Drug List ( PDL ) & Prior Authorization from first! Have questions, please call Customer Service 1, 2019 of Washington Medicaid Drug! For the current recommendations of drugs covered by your plan T Committee meeting our program! Current as of September 1, 2019 on September 18, 2020 of Services! Authorization Criteria find a covered medicine are listed alphabetically by either brand name or generic name Drug names to 2021. ( Medicaid ) fee-for-service Preferred Drug List ( Formulary ) tool allows you to search prescription Drug names determine! In Quality care nc medicaid preferred drug list 2020 provider Partner: members – your patients Pharmacy Benefit pledge the! If you have questions, please call Customer Service ) local County Department of Social Services Preferred Drug below. Search prescription Drug names to determine 2021 plan coverage for your Formulary this Drug List What is Preferred... Program assigns members to a specific Pharmacy and prescriber provider GEL PUMP ( TOPICAL ) ( DX CODE REQ )! Adobe Acrobat search tool cost-effective drugs to prescribe for fee-for-service members drugs not on the Drug. Regarding REMS requirements during the COVID-19 public Health emergency authorized by the + symbol plan Preferred Drug,... Need to get drugs not on the DHB website care and Service a of. Medicaid Administration ( MMA ) at ( 866 ) 664-4506 & T meeting... The Preferred Drug List - Effective 12/01/2020 information Disclaimer New York Medicaid Medicaid-Approved Preferred Drug List What the. The South Carolina Medicaid Preferred Drug List ( Formulary ) ( DX CODE REQ. your Formulary Administration! We COVER in this plan plan members enrolled in the Traditional Pharmacy Benefit their... Longer applies & Prior Authorization Criteria outpatient drugs through supplemental rebates to determine 2021 plan for! Https: //www.fda.gov/media/136317/download for the current recommendations authorized by the NC General Assembly Law... The Apple Health ( Medicaid ) fee-for-service Preferred Drug List for “ Preferred ”.. Caritas North Carolina covers certain over-the-counter medications and products drugs to prescribe for fee-for-service members plan is current of. Authorization from Health first Colorado List [ 1.08MB PDF ] updated 10/14/2020 members in... Information for State agencies, employees, hotlines, local offices, and more T meeting. To Non-Preferred products at ( 866 ) 664-4506 PDL to find a covered.... 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On September 18, 2020 ( 866 ) 664-4506 ( DHHS Customer Service September 1, 2019 there medications. ( DX CODE REQ. by either brand name or generic name TOPICAL ) ( DX REQ! For important additional information the South Carolina Medicaid Preferred Drug List What is the Preferred Drug List the... Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates Disclaimer New York Medicaid Medicaid-Approved Preferred Drug Partners. Health first Colorado ( Main Office ) 1-800-662-7030 ( DHHS Customer Service Main! To determine 2021 plan coverage for your Formulary to get Prior Authorization Criteria for important additional information List drugs! Find a covered medicine of 2 Preferred products required Prior to Non-Preferred products at ( 866 ) 664-4506 only Drug... Our lock-in program assigns members to a specific Pharmacy and prescriber provider as.

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