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CMS Tamper Resistant Prescription Pad Implementation
0.01 MB
Mar 10' 2023
CMS Tamper Resistant Prescription Pad Law_FAQ
0.03 MB
Mar 10' 2023
CMS Tamper Resistant Prescription Pad Law_Pharmacist Fact Sheet
0.04 MB
Mar 10' 2023
CMS Tamper Resistant Prescription Pad Law_Pharmacist Info
0.03 MB
Mar 10' 2023
CMS TRPP State Medicaid Director Letter
0.08 MB
Mar 10' 2023
Diabetic Supply Covered Items List - Effective 10.1.2023 (update 1.1.2024)
0.21 MB
Mar 15' 2024
DUR Agenda 03.20.2017
0.3 MB
Mar 13' 2023
DUR Agenda 05.12.2015
0.04 MB
Mar 13' 2023
DUR Agenda 05.20.2014
0.06 MB
Mar 13' 2023
DUR Agenda 05.31.2016
0.09 MB
Mar 13' 2023
DUR Agenda 10.11.2016
0.09 MB
Mar 13' 2023
DUR Agenda 10.24.2017
0.44 MB
Mar 13' 2023
New Hampshire Medicaid Standing Orders OTC COVID Test Kits and Naloxone
0.27 MB
Jan 02' 2024
Notification 01.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 01.09.2015 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 01.10.2017 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 01.12.2021 Pharmacist Provider Enrollment
0.19 MB
Jan 02' 2024
Notification 01.21.2022 At-Home OTC COVID-19 Test Kits
0.24 MB
Jan 02' 2024
Notification 02.01.2022 Clinical PA Updates-Web Portal Info-Email
0.07 MB
Jan 02' 2024
Notification 03.12.2021 COVID-19 POS Billing Guidance update
0.15 MB
Jan 02' 2024
Notification 03.12.2021 PDL-Clinical PA Updates-Web Portal Info-Email
0.16 MB
Jan 02' 2024
Notification 03.16.2020 PDL-Clinical PA Updates-Web Portal Info-Email
0.08 MB
Jan 02' 2024
Notification 04.01.2021 COVID-19 POS Billing Guidance update
0.22 MB
Jan 02' 2024
Notification 04.02.2013 Change in TPL Field Length
0.03 MB
Mar 13' 2023
Notification 04.14.2022 At-Home OTC COVID-19 Test Kits
0.27 MB
Jan 02' 2024
Notification 04.22.2022 Diabetic Supply Program
0.15 MB
Jan 02' 2024
Notification 05.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 05.17.2012 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 05.26.2017 Updated Fiscal Impact Regarding Outpatient Drug Rule
0.01 MB
Mar 13' 2023
Notification 06.14.2019 PDL-Clinical PA Updates-Web Portal Info-Email
0.16 MB
Jan 02' 2024
Notification 06.16.2017 PDL-Clinical PA Updates-Web Portal Info-Email
0.18 MB
Mar 13' 2023
Notification 07.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 07.03.2014 Changes to Copay
0.03 MB
Mar 13' 2023
Notification 07.06.2021 Non-Enrolled Prescriber Edit
0.2 MB
Jan 02' 2024
Notification 07.20.2016 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 07.25.2012 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 07.30.2019 340B Drug Discount Program_Effective 09.01.2019
0.4 MB
Jan 02' 2024
Notification 08.01.2014 PDL-Clinical PA Updates-Web Portal Info-Email
0.13 MB
Mar 13' 2023
Notification 08.01.2019 PDL and Changes to Pharmacy Carve Out
0.46 MB
Jan 02' 2024
Notification 08.01.2022 PDL-Clinical PA Updates-Web Portal Info-Email
0.16 MB
Jan 02' 2024
Notification 08.04.2013 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 08.21.2018 Diabetic Supply Program
0.11 MB
Jan 02' 2024
Notification 08.22.2012 Diabetic Supply Program Update
0.03 MB
Mar 13' 2023
Notification 08.24.2015 PDL Transition
0.02 MB
Mar 13' 2023
Notification 08.24.2015 PDL-Clinical PA Updates-Web Portal Info-Email
0.04 MB
Mar 13' 2023
Notification 09.01.2020 PDL-Clinical PA Updates-Web Portal Info-Email
0.04 MB
Jan 02' 2024
Notification 09.01.2021 COVID-19 POS Billing Guidance
0.22 MB
Jan 02' 2024
Notification 09.07.2021 Clinical PA Updates-Web Portal Info-Email
0.15 MB
Jan 02' 2024
Notification 10.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 10.01.2021 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 10.01.2022 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 10.08.2017 Emergency Drug Coverage Reminder
0.1 MB
Mar 13' 2023
Notification 10.30.2014 NHHPP Reinstatement of Co-Pays
0.05 MB
Mar 13' 2023
Notification 11.04.2021 Pediatric Influenza Vaccines through POS
0.15 MB
Jan 02' 2024
Notification 11.05.2020 340B Discount Program Effective_1.1.2021
0.43 MB
Jan 02' 2024
Notification 11.28.2018 PDL-Clinical PA Updates-Web Portal Info-Email
0.15 MB
Jan 02' 2024
Notification 12.01.2021 Clinical PA Updates-Web Portal Info-Email
0.17 MB
Jan 02' 2024
Notification 12.05.2018 Diabetic Supply Program
0.13 MB
Jan 02' 2024
Notification 12.06.2012 Benzodiazepines and Barbiturates in Dual Eligibles
0.03 MB
Mar 13' 2023
Notification 12.07.2012 Diabetic Supply Program
0.04 MB
Mar 13' 2023
Notification 12.10.2020 Prescriber Soft Edit
0.17 MB
Jan 02' 2024
Notification 12.15.2017 PDL-Clinical PA Updates-Web Portal Info-Email
0.17 MB
Mar 13' 2023
Notification 12.23.2020 COVID-19 POS Billing Guidance
0.21 MB
Jan 02' 2024
Notification 12.31.2020 COVID-19 Billing Guidance update
0.21 MB
Jan 02' 2024
Preferred Drug List - Effective 3.1.2024
0.78 MB
Mar 04' 2024
Preferred Drug List - Effective 7.1.2023 updated 1.24.2024
0.64 MB
Mar 04' 2024
Trading Partners FTP Instructions
0.44 MB
Oct 03' 2024
Adenosine Triphosphate-Citrate Lyase Criteria
0.19 MB
Feb 01' 2024
Antifungal for Onychomycosis Criteria
0.27 MB
Feb 01' 2024
Asthma-Allergy Immunomodulator Criteria
0.27 MB
Jul 08' 2024
Bowel Disorders.GI Motility, Chronic Criteria
0.23 MB
Jul 05' 2024
BPH Criteria
0.19 MB
Jul 17' 2023
Brand Name Multisource Drug Criteria
0.15 MB
Feb 01' 2024
Buprenorphine-Naloxone and Buprenorphine (Oral) Criteria
0.18 MB
Jul 08' 2024
Carisoprodol and Combination Criteria
0.15 MB
Feb 01' 2024
Casgevy Criteria
0.25 MB
Jul 05' 2024
CGRP Inhibitor Criteria
0.18 MB
Jul 08' 2024
CNS Stimulants (ADHD.ADD) Criteria
0.25 MB
Jul 08' 2024
Codeine for Pediatric Use Criteria
0.18 MB
Jul 17' 2023
Convenience Kits Criteria
0.13 MB
Jul 17' 2023
Duchenne Muscular Dystrophy Agents Criteria
0.23 MB
Jul 08' 2024
Dupixent Criteria
0.19 MB
Jul 17' 2023
Elevidys Criteria
0.15 MB
Feb 09' 2024
GLP-1 Receptor Agonist Criteria
0.21 MB
Feb 01' 2024
Hematopoietic Agent Criteria
0.17 MB
Jul 08' 2024
Hemgenix Criteria
0.16 MB
Jul 17' 2023
Hepatitis C Criteria
0.34 MB
Jul 17' 2023
Hetlioz Criteria
0.16 MB
Feb 01' 2024
Horizant Criteria
0.17 MB
Jul 08' 2024
Human Growth Hormones Criteria
0.27 MB
Feb 01' 2024
Hyaluronic Acid Derivatives Injection Criteria
0.19 MB
Jul 17' 2023
Juxtapid Criteria
0.15 MB
Jul 17' 2023
Lenmeldy Criteria
0.16 MB
Jul 08' 2024
Long-acting Opioid Analgesic Criteria
0.2 MB
Jul 17' 2023
Lyfgenia Criteria
0.23 MB
Jul 08' 2024
Methadone Criteria
0.16 MB
Feb 01' 2024
Monoclonal Antibody for Alzheimer's Criteria
0.17 MB
Jul 17' 2023
Morphine Milligram Equivalent (MME) Criteria
0.16 MB
Feb 01' 2024
Movement Disorders Criteria
0.21 MB
Feb 01' 2024
New Drug Product Criteria
0.15 MB
Feb 01' 2024
Oral Isotretinoin Criteria
0.15 MB
Feb 01' 2024
PCSK9 Criteria
0.21 MB
Feb 01' 2024
Psychoactive Meds for Children under 5 Criteria
0.17 MB
Feb 01' 2024
Psychotropic Meds Duplicate Therapy Peds 6 and above Criteria
0.17 MB
Feb 01' 2024
Pulmonary Arterial Hypertension PDE-5 Criteria
0.17 MB
Feb 01' 2024
Rezdiffra Criteria
0.17 MB
Jul 15' 2024
Rho Kinase Inhibitor Criteria
0.15 MB
Jul 17' 2023
Roctavian Criteria
0.17 MB
Feb 01' 2024
Second-Line Antifungal Criteria
0.23 MB
Feb 01' 2024
Short-Acting Fentanyl Criteria
0.16 MB
Jul 08' 2024
Skin Disorders Criteria
0.21 MB
Jul 08' 2024
Skysona Criteria
0.16 MB
Jul 08' 2024
Spinal Muscular Atrophy Criteria
0.22 MB
Jul 08' 2024
Spravato Criteria
0.2 MB
Feb 01' 2024
Stromectol Criteria
0.14 MB
Jul 17' 2023
Synagis Criteria
0.16 MB
Feb 01' 2024
Systemic Immunomodulator Criteria
0.3 MB
Jul 08' 2024
Topical Retinoids Criteria
0.15 MB
Jul 17' 2023
Verquvo Criteria
0.16 MB
Feb 01' 2024
Vuity Criteria
0.18 MB
Feb 01' 2024
Wakix Criteria
0.16 MB
Jul 08' 2024
Weight Management Criteria
0.29 MB
Jul 08' 2024
Zurzuvae Criteria
0.15 MB
Jul 08' 2024
Zynteglo Criteria
0.18 MB
Jul 08' 2024
Agenda 03.12.2019
0.14 MB
Mar 13' 2023
Agenda 05.03.2018
0.31 MB
Mar 13' 2023
Agenda 06.02.2022
0.27 MB
Mar 13' 2023
Agenda 06.08.2021
0.12 MB
Mar 13' 2023
Agenda 06.19.2023
0.14 MB
May 17' 2023
Agenda 06.30.2020
0.14 MB
Mar 13' 2023
Agenda 09.27.2018
0.14 MB
Mar 13' 2023
Agenda 10.15.2024
0.15 MB
Sep 12' 2024
Agenda 10.28.2019
0.14 MB
Mar 13' 2023
Agenda 12.02.2021
0.14 MB
Mar 13' 2023
Agenda 12.13.2022
0.14 MB
Mar 13' 2023
Agenda 12.15.2020
0.14 MB
Mar 13' 2023
Agenda 5.7.2024
0.14 MB
Apr 04' 2024
Minutes 06.02.2022
0.27 MB
Mar 13' 2023
Minutes 12.02.2021
0.21 MB
Mar 13' 2023
Minutes 12.13.2022
0.21 MB
Jun 20' 2023
Minutes 12.8.2023
0.22 MB
May 08' 2024
Minutes 6.19.2023
0.23 MB
Dec 16' 2023
Adenosine Triphosphate-Citrate Lyase PA Form
1.74 MB
Feb 01' 2024
Anti-Fungal Medication for Onychomycosis PA Form
1.75 MB
Feb 01' 2024
Asthma-Allergy Immunomodulator PA Form
1 MB
Jul 08' 2024
Bowel Disorders.GI Motility, Chronic PA Form
1.77 MB
Jul 08' 2024
BPH PA Form
1.71 MB
Jul 17' 2023
Brand Name Multisource Drug PA Form
1.84 MB
Feb 01' 2024
Buprenorphine-Naloxone and Buprenorphine (Oral) PA Form
1.75 MB
Jul 08' 2024
Carisoprodol and Combination PA Form
1.82 MB
Feb 01' 2024
Casgevy PA Form
1.84 MB
Jul 08' 2024
CGRP Inhibitor PA Form
1.81 MB
Jul 08' 2024
CNS Stimulants (ADHD.ADD) PA Form
1.43 MB
Jul 08' 2024
Codeine for Pediatric Use PA Form
1.73 MB
Jul 17' 2023
Convenience Kits PA Form
1.76 MB
Jul 17' 2023
Duchenne Muscular Dystrophy PA Form.pdf
1.78 MB
Jul 08' 2024
Dupixent PA Form
1.82 MB
Jul 17' 2023
Elevidys PA Form
1.83 MB
Feb 09' 2024
GLP-1 Receptor Agonist PA Form
1.76 MB
Feb 01' 2024
Hematopoietic Agent PA Form
0.92 MB
Jul 08' 2024
Hemgenix PA Form.pdf
1.79 MB
Oct 12' 2023
Hepatitis C PA Form
1.76 MB
Jul 17' 2023
Hetlioz PA Form
1.75 MB
Feb 01' 2024
Horizant PA Form
1.89 MB
Feb 01' 2024
Human Growth Hormones PA Form
1.73 MB
Feb 01' 2024
Hyaluronic Acid Derivatives Injection PA Form.pdf
1.74 MB
Jul 24' 2023
Juxtapid PA Form
1.73 MB
Jul 17' 2023
Lenmeldy PA Form
1.76 MB
Jul 08' 2024
Long-acting Opioid Analgesic PA Form
1.76 MB
Mar 10' 2023
Lyfgenia PA Form
1.76 MB
Jul 08' 2024
Methadone PA Form
1.78 MB
Feb 01' 2024
Monoclonal Antibody for Alzheimers PA Form.pdf
1.77 MB
Jul 24' 2023
Morphine Milligram Equivalent (MME) PA Form
1.72 MB
Feb 01' 2024
Movement Disorders PA Form
1.76 MB
Feb 01' 2024
New Drug Product PA Form
1.71 MB
Feb 01' 2024
Non-Preferred Drug PA Form
1.75 MB
Mar 10' 2023
Oral Isotretinoin PA Form
1.71 MB
Feb 01' 2024
PCSK9 PA Form
1.7 MB
Feb 01' 2024
Psychoactive Meds for Children under 5 Criteria PA Form
1.74 MB
Feb 01' 2024
Psychotropic Meds Duplicate Therapy Peds 6 and above PA Form
1.74 MB
Feb 01' 2024
Pulmonary Arterial Hypertension PDE-5 PA Form
1.76 MB
Feb 01' 2024
Rezdiffra PA Form
1.78 MB
Jul 08' 2024
Rho Kinase Inhibitor PA Form
1.68 MB
Jul 17' 2023
Roctavian PA Form
1.76 MB
Feb 01' 2024
Second-Line Antifungal PA Form
0.98 MB
Feb 01' 2024
Short-Acting Fentanyl PA Form
0.98 MB
Jul 08' 2024
Skin Disorders PA Form
1.81 MB
Jul 08' 2024
Skysona PA Form.pdf
1.77 MB
Jul 08' 2024
Spinal Muscular Atrophy PA Form.pdf
1.87 MB
Jul 08' 2024
Spravato PA Form
1.76 MB
Feb 01' 2024
Stromectol PA Form
1.68 MB
Jul 17' 2023
Synagis PA Form
1.75 MB
Feb 01' 2024
Systemic Immunomodulators Medication PA Form.pdf
1.81 MB
Jul 08' 2024
Topical Retinoids PA Form
1.76 MB
Jul 17' 2023
Verquvo PA Form
0.94 MB
Feb 01' 2024
Vuity PA Form
0.92 MB
Feb 01' 2024
Wakix PA Form
1.71 MB
Jul 08' 2024
Weight Management PA Form
1.88 MB
Jul 08' 2024
Zurzuvae PA Form
1.72 MB
Jul 08' 2024
Zynteglo PA Form.pdf
1.77 MB
Jul 08' 2024
COVID-19 Testing and Treatment Group Coverage Ending
0.2 MB
Mar 07' 2023
Notification 02.01.2023 Clinical PA Updates-Web Portal Info-Email
0.13 MB
Mar 13' 2023
Notification 03.15.2023 Pharmacist Provided Medical Services
0.19 MB
Mar 20' 2023
Notification 03.28.2023 Standing Orders OTC COVID Test Kits
0.19 MB
Mar 28' 2023
Notification 04.13.2023 Makena Withdrawal
0.07 MB
Apr 14' 2023
Notification 06.01.2023 July PDL update
0.19 MB
Jun 01' 2023
Notification 06.20.2023 July PDL update
0.08 MB
Jun 20' 2023
Notification 06.30.2023 August Clinical PA Updates
0.13 MB
Jun 30' 2023
Notification 1.23.2024 Standing Order Opioid Antagonist
0.21 MB
Jan 23' 2024
Notification 1.26.2024 PDL-Clinical PA Updates-Web Portal Info-Email
0.24 MB
Jan 26' 2024
Notification 10.1.2024 COVID Update
0.21 MB
Sep 25' 2024
Notification 12.1.2023 Carve out Program effective 1.1.2024
0.21 MB
Dec 01' 2023
Notification 340B Program effective 1.1.2024
0.24 MB
Nov 02' 2023
Notification 6.14.2024 Clinical PA Updates-Web Portal Info-Email
0.21 MB
Jun 17' 2024
Notification 8.1.2024 Carve Out-PDL-Web Portal Info-Email
0.21 MB
Aug 01' 2024
Pharmacy Language Access Services Reminder
1.2 MB
Aug 11' 2023
CMS Rebate Participating Manufacturers
0.25 MB
Oct 02' 2024
Diabetic Supply Covered Items List - Effective 10.1.2024
0.16 MB
Sep 30' 2024
Dose Optimization Program
0.01 MB
Mar 10' 2023
MAC Price Research Request Form
1.75 MB
Sep 30' 2024
Maintenance Medications
0.17 MB
Oct 03' 2024
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Payer Specification
0.74 MB
Oct 03' 2024
Pharmacy Provider Manual - Revised 6.16.2023
0.87 MB
Jun 16' 2023
Preferred Drug List - Effective 9.1.2024
0.64 MB
Aug 19' 2024
Quantity Limit Program
0.23 MB
Mar 10' 2023
Third Party Liability Other Payer ID Codes
0.15 MB
Mar 10' 2023
Dose Optimization Program
0.01 MB
Mar 10' 2023
Maintenance Medications
0.17 MB
Oct 03' 2024
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Preferred Drug List - Effective 9.1.2024
0.64 MB
Aug 19' 2024
Quantity Limit Program
0.23 MB
Mar 10' 2023
Multi-Ingredient Compound Reference
0.16 MB
Oct 03' 2024
CMS Tamper Resistant Prescription Pad Implementation
0.01 MB
Mar 10' 2023
CMS Tamper Resistant Prescription Pad Law_FAQ
0.03 MB
Mar 10' 2023
CMS Tamper Resistant Prescription Pad Law_Pharmacist Fact Sheet
0.04 MB
Mar 10' 2023
CMS Tamper Resistant Prescription Pad Law_Pharmacist Info
0.03 MB
Mar 10' 2023
CMS TRPP State Medicaid Director Letter
0.08 MB
Mar 10' 2023
Diabetic Supply Covered Items List - Effective 10.1.2023 (update 1.1.2024)
0.21 MB
Mar 15' 2024
DUR Agenda 03.20.2017
0.3 MB
Mar 13' 2023
DUR Agenda 05.12.2015
0.04 MB
Mar 13' 2023
DUR Agenda 05.20.2014
0.06 MB
Mar 13' 2023
DUR Agenda 05.31.2016
0.09 MB
Mar 13' 2023
DUR Agenda 10.11.2016
0.09 MB
Mar 13' 2023
DUR Agenda 10.24.2017
0.44 MB
Mar 13' 2023
New Hampshire Medicaid Standing Orders OTC COVID Test Kits and Naloxone
0.27 MB
Jan 02' 2024
Notification 01.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 01.09.2015 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 01.10.2017 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 01.12.2021 Pharmacist Provider Enrollment
0.19 MB
Jan 02' 2024
Notification 01.21.2022 At-Home OTC COVID-19 Test Kits
0.24 MB
Jan 02' 2024
Notification 02.01.2022 Clinical PA Updates-Web Portal Info-Email
0.07 MB
Jan 02' 2024
Notification 03.12.2021 COVID-19 POS Billing Guidance update
0.15 MB
Jan 02' 2024
Notification 03.12.2021 PDL-Clinical PA Updates-Web Portal Info-Email
0.16 MB
Jan 02' 2024
Notification 03.16.2020 PDL-Clinical PA Updates-Web Portal Info-Email
0.08 MB
Jan 02' 2024
Notification 04.01.2021 COVID-19 POS Billing Guidance update
0.22 MB
Jan 02' 2024
Notification 04.02.2013 Change in TPL Field Length
0.03 MB
Mar 13' 2023
Notification 04.14.2022 At-Home OTC COVID-19 Test Kits
0.27 MB
Jan 02' 2024
Notification 04.22.2022 Diabetic Supply Program
0.15 MB
Jan 02' 2024
Notification 05.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 05.17.2012 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 05.26.2017 Updated Fiscal Impact Regarding Outpatient Drug Rule
0.01 MB
Mar 13' 2023
Notification 06.14.2019 PDL-Clinical PA Updates-Web Portal Info-Email
0.16 MB
Jan 02' 2024
Notification 06.16.2017 PDL-Clinical PA Updates-Web Portal Info-Email
0.18 MB
Mar 13' 2023
Notification 07.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 07.03.2014 Changes to Copay
0.03 MB
Mar 13' 2023
Notification 07.06.2021 Non-Enrolled Prescriber Edit
0.2 MB
Jan 02' 2024
Notification 07.20.2016 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 07.25.2012 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 07.30.2019 340B Drug Discount Program_Effective 09.01.2019
0.4 MB
Jan 02' 2024
Notification 08.01.2014 PDL-Clinical PA Updates-Web Portal Info-Email
0.13 MB
Mar 13' 2023
Notification 08.01.2019 PDL and Changes to Pharmacy Carve Out
0.46 MB
Jan 02' 2024
Notification 08.01.2022 PDL-Clinical PA Updates-Web Portal Info-Email
0.16 MB
Jan 02' 2024
Notification 08.04.2013 PDL-Clinical PA Updates-Web Portal Info-Email
0.03 MB
Mar 13' 2023
Notification 08.21.2018 Diabetic Supply Program
0.11 MB
Jan 02' 2024
Notification 08.22.2012 Diabetic Supply Program Update
0.03 MB
Mar 13' 2023
Notification 08.24.2015 PDL Transition
0.02 MB
Mar 13' 2023
Notification 08.24.2015 PDL-Clinical PA Updates-Web Portal Info-Email
0.04 MB
Mar 13' 2023
Notification 09.01.2020 PDL-Clinical PA Updates-Web Portal Info-Email
0.04 MB
Jan 02' 2024
Notification 09.01.2021 COVID-19 POS Billing Guidance
0.22 MB
Jan 02' 2024
Notification 09.07.2021 Clinical PA Updates-Web Portal Info-Email
0.15 MB
Jan 02' 2024
Notification 10.01.2019 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 10.01.2021 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 10.01.2022 Diabetic Supply Program
0.14 MB
Jan 02' 2024
Notification 10.08.2017 Emergency Drug Coverage Reminder
0.1 MB
Mar 13' 2023
Notification 10.30.2014 NHHPP Reinstatement of Co-Pays
0.05 MB
Mar 13' 2023
Notification 11.04.2021 Pediatric Influenza Vaccines through POS
0.15 MB
Jan 02' 2024
Notification 11.05.2020 340B Discount Program Effective_1.1.2021
0.43 MB
Jan 02' 2024
Notification 11.28.2018 PDL-Clinical PA Updates-Web Portal Info-Email
0.15 MB
Jan 02' 2024
Notification 12.01.2021 Clinical PA Updates-Web Portal Info-Email
0.17 MB
Jan 02' 2024
Notification 12.05.2018 Diabetic Supply Program
0.13 MB
Jan 02' 2024
Notification 12.06.2012 Benzodiazepines and Barbiturates in Dual Eligibles
0.03 MB
Mar 13' 2023
Notification 12.07.2012 Diabetic Supply Program
0.04 MB
Mar 13' 2023
Notification 12.10.2020 Prescriber Soft Edit
0.17 MB
Jan 02' 2024
Notification 12.15.2017 PDL-Clinical PA Updates-Web Portal Info-Email
0.17 MB
Mar 13' 2023
Notification 12.23.2020 COVID-19 POS Billing Guidance
0.21 MB
Jan 02' 2024
Notification 12.31.2020 COVID-19 Billing Guidance update
0.21 MB
Jan 02' 2024
Preferred Drug List - Effective 3.1.2024
0.78 MB
Mar 04' 2024
Preferred Drug List - Effective 7.1.2023 updated 1.24.2024
0.64 MB
Mar 04' 2024
Trading Partners FTP Instructions
0.44 MB
Oct 03' 2024
Adenosine Triphosphate-Citrate Lyase Criteria
0.19 MB
Feb 01' 2024
Antifungal for Onychomycosis Criteria
0.27 MB
Feb 01' 2024
Asthma-Allergy Immunomodulator Criteria
0.27 MB
Jul 08' 2024
Bowel Disorders.GI Motility, Chronic Criteria
0.23 MB
Jul 05' 2024
BPH Criteria
0.19 MB
Jul 17' 2023
Brand Name Multisource Drug Criteria
0.15 MB
Feb 01' 2024
Buprenorphine-Naloxone and Buprenorphine (Oral) Criteria
0.18 MB
Jul 08' 2024
Carisoprodol and Combination Criteria
0.15 MB
Feb 01' 2024
Casgevy Criteria
0.25 MB
Jul 05' 2024
CGRP Inhibitor Criteria
0.18 MB
Jul 08' 2024
CNS Stimulants (ADHD.ADD) Criteria
0.25 MB
Jul 08' 2024
Codeine for Pediatric Use Criteria
0.18 MB
Jul 17' 2023
Convenience Kits Criteria
0.13 MB
Jul 17' 2023
Duchenne Muscular Dystrophy Agents Criteria
0.23 MB
Jul 08' 2024
Dupixent Criteria
0.19 MB
Jul 17' 2023
Elevidys Criteria
0.15 MB
Feb 09' 2024
GLP-1 Receptor Agonist Criteria
0.21 MB
Feb 01' 2024
Hematopoietic Agent Criteria
0.17 MB
Jul 08' 2024
Hemgenix Criteria
0.16 MB
Jul 17' 2023
Hepatitis C Criteria
0.34 MB
Jul 17' 2023
Hetlioz Criteria
0.16 MB
Feb 01' 2024
Horizant Criteria
0.17 MB
Jul 08' 2024
Human Growth Hormones Criteria
0.27 MB
Feb 01' 2024
Hyaluronic Acid Derivatives Injection Criteria
0.19 MB
Jul 17' 2023
Juxtapid Criteria
0.15 MB
Jul 17' 2023
Lenmeldy Criteria
0.16 MB
Jul 08' 2024
Long-acting Opioid Analgesic Criteria
0.2 MB
Jul 17' 2023
Lyfgenia Criteria
0.23 MB
Jul 08' 2024
Methadone Criteria
0.16 MB
Feb 01' 2024
Monoclonal Antibody for Alzheimer's Criteria
0.17 MB
Jul 17' 2023
Morphine Milligram Equivalent (MME) Criteria
0.16 MB
Feb 01' 2024
Movement Disorders Criteria
0.21 MB
Feb 01' 2024
New Drug Product Criteria
0.15 MB
Feb 01' 2024
Oral Isotretinoin Criteria
0.15 MB
Feb 01' 2024
PCSK9 Criteria
0.21 MB
Feb 01' 2024
Psychoactive Meds for Children under 5 Criteria
0.17 MB
Feb 01' 2024
Psychotropic Meds Duplicate Therapy Peds 6 and above Criteria
0.17 MB
Feb 01' 2024
Pulmonary Arterial Hypertension PDE-5 Criteria
0.17 MB
Feb 01' 2024
Rezdiffra Criteria
0.17 MB
Jul 15' 2024
Rho Kinase Inhibitor Criteria
0.15 MB
Jul 17' 2023
Roctavian Criteria
0.17 MB
Feb 01' 2024
Second-Line Antifungal Criteria
0.23 MB
Feb 01' 2024
Short-Acting Fentanyl Criteria
0.16 MB
Jul 08' 2024
Skin Disorders Criteria
0.21 MB
Jul 08' 2024
Skysona Criteria
0.16 MB
Jul 08' 2024
Spinal Muscular Atrophy Criteria
0.22 MB
Jul 08' 2024
Spravato Criteria
0.2 MB
Feb 01' 2024
Stromectol Criteria
0.14 MB
Jul 17' 2023
Synagis Criteria
0.16 MB
Feb 01' 2024
Systemic Immunomodulator Criteria
0.3 MB
Jul 08' 2024
Topical Retinoids Criteria
0.15 MB
Jul 17' 2023
Verquvo Criteria
0.16 MB
Feb 01' 2024
Vuity Criteria
0.18 MB
Feb 01' 2024
Wakix Criteria
0.16 MB
Jul 08' 2024
Weight Management Criteria
0.29 MB
Jul 08' 2024
Zurzuvae Criteria
0.15 MB
Jul 08' 2024
Zynteglo Criteria
0.18 MB
Jul 08' 2024
Agenda 03.12.2019
0.14 MB
Mar 13' 2023
Agenda 05.03.2018
0.31 MB
Mar 13' 2023
Agenda 06.02.2022
0.27 MB
Mar 13' 2023
Agenda 06.08.2021
0.12 MB
Mar 13' 2023
Agenda 06.19.2023
0.14 MB
May 17' 2023
Agenda 06.30.2020
0.14 MB
Mar 13' 2023
Agenda 09.27.2018
0.14 MB
Mar 13' 2023
Agenda 10.15.2024
0.15 MB
Sep 12' 2024
Agenda 10.28.2019
0.14 MB
Mar 13' 2023
Agenda 12.02.2021
0.14 MB
Mar 13' 2023
Agenda 12.13.2022
0.14 MB
Mar 13' 2023
Agenda 12.15.2020
0.14 MB
Mar 13' 2023
Agenda 5.7.2024
0.14 MB
Apr 04' 2024
Minutes 06.02.2022
0.27 MB
Mar 13' 2023
Minutes 12.02.2021
0.21 MB
Mar 13' 2023
Minutes 12.13.2022
0.21 MB
Jun 20' 2023
Minutes 12.8.2023
0.22 MB
May 08' 2024
Minutes 6.19.2023
0.23 MB
Dec 16' 2023
Adenosine Triphosphate-Citrate Lyase PA Form
1.74 MB
Feb 01' 2024
Anti-Fungal Medication for Onychomycosis PA Form
1.75 MB
Feb 01' 2024
Asthma-Allergy Immunomodulator PA Form
1 MB
Jul 08' 2024
Bowel Disorders.GI Motility, Chronic PA Form
1.77 MB
Jul 08' 2024
BPH PA Form
1.71 MB
Jul 17' 2023
Brand Name Multisource Drug PA Form
1.84 MB
Feb 01' 2024
Buprenorphine-Naloxone and Buprenorphine (Oral) PA Form
1.75 MB
Jul 08' 2024
Carisoprodol and Combination PA Form
1.82 MB
Feb 01' 2024
Casgevy PA Form
1.84 MB
Jul 08' 2024
CGRP Inhibitor PA Form
1.81 MB
Jul 08' 2024
CNS Stimulants (ADHD.ADD) PA Form
1.43 MB
Jul 08' 2024
Codeine for Pediatric Use PA Form
1.73 MB
Jul 17' 2023
Convenience Kits PA Form
1.76 MB
Jul 17' 2023
Duchenne Muscular Dystrophy PA Form.pdf
1.78 MB
Jul 08' 2024
Dupixent PA Form
1.82 MB
Jul 17' 2023
Elevidys PA Form
1.83 MB
Feb 09' 2024
GLP-1 Receptor Agonist PA Form
1.76 MB
Feb 01' 2024
Hematopoietic Agent PA Form
0.92 MB
Jul 08' 2024
Hemgenix PA Form.pdf
1.79 MB
Oct 12' 2023
Hepatitis C PA Form
1.76 MB
Jul 17' 2023
Hetlioz PA Form
1.75 MB
Feb 01' 2024
Horizant PA Form
1.89 MB
Feb 01' 2024
Human Growth Hormones PA Form
1.73 MB
Feb 01' 2024
Hyaluronic Acid Derivatives Injection PA Form.pdf
1.74 MB
Jul 24' 2023
Juxtapid PA Form
1.73 MB
Jul 17' 2023
Lenmeldy PA Form
1.76 MB
Jul 08' 2024
Long-acting Opioid Analgesic PA Form
1.76 MB
Mar 10' 2023
Lyfgenia PA Form
1.76 MB
Jul 08' 2024
Methadone PA Form
1.78 MB
Feb 01' 2024
Monoclonal Antibody for Alzheimers PA Form.pdf
1.77 MB
Jul 24' 2023
Morphine Milligram Equivalent (MME) PA Form
1.72 MB
Feb 01' 2024
Movement Disorders PA Form
1.76 MB
Feb 01' 2024
New Drug Product PA Form
1.71 MB
Feb 01' 2024
Non-Preferred Drug PA Form
1.75 MB
Mar 10' 2023
Oral Isotretinoin PA Form
1.71 MB
Feb 01' 2024
PCSK9 PA Form
1.7 MB
Feb 01' 2024
Psychoactive Meds for Children under 5 Criteria PA Form
1.74 MB
Feb 01' 2024
Psychotropic Meds Duplicate Therapy Peds 6 and above PA Form
1.74 MB
Feb 01' 2024
Pulmonary Arterial Hypertension PDE-5 PA Form
1.76 MB
Feb 01' 2024
Rezdiffra PA Form
1.78 MB
Jul 08' 2024
Rho Kinase Inhibitor PA Form
1.68 MB
Jul 17' 2023
Roctavian PA Form
1.76 MB
Feb 01' 2024
Second-Line Antifungal PA Form
0.98 MB
Feb 01' 2024
Short-Acting Fentanyl PA Form
0.98 MB
Jul 08' 2024
Skin Disorders PA Form
1.81 MB
Jul 08' 2024
Skysona PA Form.pdf
1.77 MB
Jul 08' 2024
Spinal Muscular Atrophy PA Form.pdf
1.87 MB
Jul 08' 2024
Spravato PA Form
1.76 MB
Feb 01' 2024
Stromectol PA Form
1.68 MB
Jul 17' 2023
Synagis PA Form
1.75 MB
Feb 01' 2024
Systemic Immunomodulators Medication PA Form.pdf
1.81 MB
Jul 08' 2024
Topical Retinoids PA Form
1.76 MB
Jul 17' 2023
Verquvo PA Form
0.94 MB
Feb 01' 2024
Vuity PA Form
0.92 MB
Feb 01' 2024
Wakix PA Form
1.71 MB
Jul 08' 2024
Weight Management PA Form
1.88 MB
Jul 08' 2024
Zurzuvae PA Form
1.72 MB
Jul 08' 2024
Zynteglo PA Form.pdf
1.77 MB
Jul 08' 2024
COVID-19 Testing and Treatment Group Coverage Ending
0.2 MB
Mar 07' 2023
Notification 02.01.2023 Clinical PA Updates-Web Portal Info-Email
0.13 MB
Mar 13' 2023
Notification 03.15.2023 Pharmacist Provided Medical Services
0.19 MB
Mar 20' 2023
Notification 03.28.2023 Standing Orders OTC COVID Test Kits
0.19 MB
Mar 28' 2023
Notification 04.13.2023 Makena Withdrawal
0.07 MB
Apr 14' 2023
Notification 06.01.2023 July PDL update
0.19 MB
Jun 01' 2023
Notification 06.20.2023 July PDL update
0.08 MB
Jun 20' 2023
Notification 06.30.2023 August Clinical PA Updates
0.13 MB
Jun 30' 2023
Notification 1.23.2024 Standing Order Opioid Antagonist
0.21 MB
Jan 23' 2024
Notification 1.26.2024 PDL-Clinical PA Updates-Web Portal Info-Email
0.24 MB
Jan 26' 2024
Notification 10.1.2024 COVID Update
0.21 MB
Sep 25' 2024
Notification 12.1.2023 Carve out Program effective 1.1.2024
0.21 MB
Dec 01' 2023
Notification 340B Program effective 1.1.2024
0.24 MB
Nov 02' 2023
Notification 6.14.2024 Clinical PA Updates-Web Portal Info-Email
0.21 MB
Jun 17' 2024
Notification 8.1.2024 Carve Out-PDL-Web Portal Info-Email
0.21 MB
Aug 01' 2024
Pharmacy Language Access Services Reminder
1.2 MB
Aug 11' 2023
CMS Rebate Participating Manufacturers
0.25 MB
Oct 02' 2024
Diabetic Supply Covered Items List - Effective 10.1.2024
0.16 MB
Sep 30' 2024
Dose Optimization Program
0.01 MB
Mar 10' 2023
MAC Price Research Request Form
1.75 MB
Sep 30' 2024
Maintenance Medications
0.17 MB
Oct 03' 2024
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Payer Specification
0.74 MB
Oct 03' 2024
Pharmacy Provider Manual - Revised 6.16.2023
0.87 MB
Jun 16' 2023
Preferred Drug List - Effective 9.1.2024
0.64 MB
Aug 19' 2024
Quantity Limit Program
0.23 MB
Mar 10' 2023
Third Party Liability Other Payer ID Codes
0.15 MB
Mar 10' 2023
Dose Optimization Program
0.01 MB
Mar 10' 2023
Maintenance Medications
0.17 MB
Oct 03' 2024
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Preferred Drug List - Effective 9.1.2024
0.64 MB
Aug 19' 2024
Quantity Limit Program
0.23 MB
Mar 10' 2023
Multi-Ingredient Compound Reference
0.16 MB
Oct 03' 2024
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