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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
Diabetic Supply Covered Items List - Effective 10.1.2024
0.16 MB
Oct 30' 2024
Diabetic Supply Covered Items List - Updated 7.17.2025
0.21 MB
Sep 19' 2025
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 2.3.2025
0.67 MB
Jul 05' 2025
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
Preferred Drug List - Effective 9.1.2024
0.62 MB
Feb 03' 2025
Trading Partners FTP Instructions
0.44 MB
Oct 01' 2025
Adenosine Triphosphate-Citrate Lyase Criteria
0.2 MB
Jul 05' 2025
Asthma-Allergy Immunomodulator Criteria
0.2 MB
Oct 04' 2024
Bowel Disorders.GI Motility, Chronic Criteria
0.17 MB
Oct 04' 2024
BPH Criteria
0.15 MB
Dec 16' 2024
Brand Name Multisource Drug Criteria
0.16 MB
Jul 05' 2025
Buprenorphine-Naloxone and Buprenorphine (Oral) Criteria
0.17 MB
Jul 05' 2025
Carisoprodol and Combination Criteria
0.17 MB
Jul 05' 2025
Casgevy Criteria
0.22 MB
Mar 26' 2025
CGRP Inhibitor Criteria
0.21 MB
Dec 16' 2024
Cholestatic Pruritus Criteria
0.16 MB
Mar 26' 2025
CNS Stimulants (ADHD.ADD) Criteria
0.2 MB
Oct 04' 2024
Codeine for Pediatric Use Criteria
0.18 MB
Dec 16' 2024
Convenience Kits Criteria
0.14 MB
Dec 16' 2024
Duchenne Muscular Dystrophy Agents Criteria
0.17 MB
Oct 04' 2024
Dupixent Criteria
0.21 MB
Dec 16' 2024
Elevidys Criteria
0.14 MB
Mar 26' 2025
Epidermolysis Bullosa Criteria
0.17 MB
Mar 26' 2025
GLP-1 Receptor Agonist Criteria
0.17 MB
Jul 05' 2025
Hematopoietic Agent Criteria
0.15 MB
Oct 04' 2024
Hemophilia B Gene Therapy Criteria
0.14 MB
Mar 26' 2025
Hepatitis C Criteria
0.32 MB
Dec 16' 2024
Hetlioz Criteria
0.19 MB
Jul 05' 2025
Human Growth Hormones Criteria
0.27 MB
Jul 05' 2025
Hyaluronic Acid Derivatives Injection Criteria
0.18 MB
Dec 16' 2024
Imcivree Criteria effective 1.1.2026
0.2 MB
Oct 09' 2025
Juxtapid Criteria
0.18 MB
Dec 16' 2024
Kebilidi Criteria
0.2 MB
Jul 09' 2025
Lenmeldy Criteria
0.15 MB
Mar 26' 2025
Long-acting Opioid Analgesic Criteria
0.2 MB
Dec 16' 2024
Lyfgenia Criteria
0.28 MB
Mar 26' 2025
MACE-Wegovy Criteria effective 1.1.2026
0.21 MB
Oct 09' 2025
MASH Criteria effective 1.1.2026
0.2 MB
Oct 09' 2025
Methadone Criteria
0.19 MB
Jul 05' 2025
Monoclonal Antibody for Alzheimer's Criteria
0.2 MB
Dec 16' 2024
Morphine Milligram Equivalent (MME) Criteria
0.16 MB
Jul 05' 2025
Movement Disorders Criteria
0.14 MB
Dec 16' 2024
New Drug Product Criteria
0.14 MB
Jul 05' 2025
Niemann-Pick Criteria
0.18 MB
Jul 09' 2025
Oral Isotretinoin Criteria
0.17 MB
Jul 05' 2025
OSA-Zepbound Criteria effective 1.1.2026
0.2 MB
Oct 09' 2025
PCSK9 Criteria
0.18 MB
Jul 05' 2025
Primary Biliary Cholangitis Criteria
0.19 MB
Mar 26' 2025
Psychoactive Meds for Children under 5 Criteria
0.16 MB
Jul 05' 2025
Psychotropic Meds Duplicate Therapy Peds 6 and above Criteria
0.13 MB
Jul 05' 2025
Pulmonary Arterial Hypertension PDE-5 Criteria
0.14 MB
Jul 05' 2025
Rezdiffra Criteria
0.16 MB
Mar 26' 2025
Rho Kinase Inhibitor Criteria
0.16 MB
Dec 16' 2024
Roctavian Criteria
0.16 MB
Jul 05' 2025
Second-Line Antifungal Criteria
0.18 MB
Jul 05' 2025
Short-Acting Fentanyl Criteria
0.19 MB
Oct 04' 2024
Skin Disorders Criteria
0.22 MB
Jul 05' 2025
Skysona Criteria
0.19 MB
Oct 04' 2024
Spinal Muscular Atrophy Criteria
0.22 MB
Oct 04' 2024
Spravato Criteria
0.25 MB
Jul 05' 2025
Synagis Criteria
0.17 MB
Jul 05' 2025
Systemic Immunomodulator Criteria
0.31 MB
Jul 05' 2025
Topical Retinoids Criteria
0.15 MB
Dec 16' 2024
Verquvo Criteria
0.19 MB
Jul 05' 2025
Vuity Criteria
0.22 MB
Jul 05' 2025
Wakix Criteria
0.19 MB
Mar 26' 2025
Weight Management Criteria effective 1.1.2026
0.23 MB
Oct 09' 2025
Weight Management Criteria terms 12.31.2025
0.29 MB
Oct 10' 2025
Winrevair Criteria
0.16 MB
Jul 09' 2025
Zurzuvae Criteria
0.15 MB
Mar 26' 2025
Zynteglo Criteria
0.17 MB
Oct 04' 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 4.8.2025
0.13 MB
Mar 26' 2025
Agenda 5.7.2024
0.14 MB
Apr 04' 2024
Agenda 9.23.2025
0.16 MB
Aug 20' 2025
Minutes 06.02.2022
0.27 MB
Mar 13' 2023
Minutes 10.15.2024
0.27 MB
Apr 10' 2025
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 4.8.2025
0.3 MB
Sep 25' 2025
Minutes 5.7.2024
0.24 MB
Oct 18' 2024
Minutes 6.19.2023
0.23 MB
Dec 16' 2023
Adenosine Triphosphate-Citrate Lyase PA Form
1.87 MB
Jul 05' 2025
Asthma-Allergy Immunomodulator PA Form
1 MB
Oct 04' 2024
Bowel Disorders.GI Motility, Chronic PA Form
1.77 MB
Oct 04' 2024
BPH PA Form
1.72 MB
Dec 16' 2024
Brand Name Multisource Drug PA Form
1.86 MB
Jul 05' 2025
Buprenorphine-Naloxone and Buprenorphine (Oral) PA Form
1.85 MB
Jul 05' 2025
Carisoprodol and Combination PA Form
1.83 MB
Jul 05' 2025
Casgevy PA Form
1.83 MB
Mar 26' 2025
CGRP Inhibitor PA Form
1.81 MB
Dec 16' 2024
Cholestatic Pruritus PA Form
1.61 MB
Mar 26' 2025
CNS Stimulants (ADHD.ADD) PA Form
1.45 MB
Oct 04' 2024
Codeine for Pediatric Use PA Form
1.74 MB
Dec 16' 2024
Convenience Kits PA Form
1.77 MB
Dec 16' 2024
Duchenne Muscular Dystrophy PA Form.pdf
1.79 MB
Oct 04' 2024
Dupixent PA Form
1.84 MB
Dec 16' 2024
Elevidys PA Form
1.77 MB
Mar 26' 2025
Epidermolysis Bullosa PA Form
1.54 MB
Mar 26' 2025
GLP-1 Receptor Agonist PA Form
1.8 MB
Jul 05' 2025
Hematopoietic Agent PA Form
0.93 MB
Mar 26' 2025
Hemophilia B Gene Therapy PA Form
1.52 MB
Mar 26' 2025
Hepatitis C PA Form
1.77 MB
Dec 16' 2024
Hetlioz PA Form
1.75 MB
Jul 05' 2025
Human Growth Hormones PA Form
1.89 MB
Jul 05' 2025
Hyaluronic Acid Derivatives Injection PA Form
1.75 MB
Dec 16' 2024
Juxtapid PA Form
1.74 MB
Dec 16' 2024
Kebilidi PA Form
1.82 MB
Jul 05' 2025
Lenmeldy PA Form
1.78 MB
Mar 26' 2025
Long-acting Opioid Analgesic PA Form
1.79 MB
Dec 16' 2024
Lyfgenia PA Form
1.79 MB
Mar 26' 2025
Methadone PA Form
1.88 MB
Jul 05' 2025
Monoclonal Antibody for Alzheimer's PA Form
1.81 MB
Dec 16' 2024
Morphine Milligram Equivalent (MME) PA Form
1.87 MB
Jul 05' 2025
Movement Disorders PA Form
1.75 MB
Dec 16' 2024
New Drug Product PA Form
1.84 MB
Jul 05' 2025
Niemann-Pick Disease PA Form
1.77 MB
Jul 05' 2025
Non-Preferred Drug PA Form
1.75 MB
Oct 04' 2024
Oral Isotretinoin PA Form
1.83 MB
Jul 05' 2025
PCSK9 PA Form
1.82 MB
Jul 05' 2025
Primary Biliary Cholangitis PA Form
1.59 MB
Mar 26' 2025
Psychoactive Meds for Children under 5 Criteria PA Form
1.87 MB
Jul 05' 2025
Psychotropic Meds Duplicate Therapy Peds 6 and above PA Form
1.87 MB
Jul 05' 2025
Pulmonary Arterial Hypertension PDE-5 PA Form
1.86 MB
Jul 05' 2025
Rezdiffra PA Form
1.75 MB
Mar 26' 2025
Rho Kinase Inhibitor PA Form
1.69 MB
Dec 16' 2024
Roctavian PA Form
1.84 MB
Jul 05' 2025
Second-Line Antifungal PA Form
1.81 MB
Jul 05' 2025
Short-Acting Fentanyl PA Form
0.98 MB
Oct 04' 2024
Skin Disorders PA Form
1.95 MB
Jul 05' 2025
Skysona PA Form
1.77 MB
Oct 04' 2024
Spinal Muscular Atrophy PA Form
1.81 MB
Oct 04' 2024
Spravato PA Form
1.87 MB
Jul 05' 2025
Synagis PA Form
1.89 MB
Jul 05' 2025
Systemic Immunomodulators Medication PA Form
1.86 MB
Jul 05' 2025
Topical Retinoids PA Form
1.77 MB
Dec 16' 2024
Verquvo PA Form
1.79 MB
Jul 05' 2025
Vuity PA Form
1.76 MB
Jul 05' 2025
Wakix PA Form
1.74 MB
Mar 26' 2025
Weight Management PA Form
1.95 MB
Jul 05' 2025
Winrevair PA Form
1.79 MB
Jul 05' 2025
Zurzuvae PA Form
1.73 MB
Mar 26' 2025
Zynteglo PA Form
1.77 MB
Oct 04' 2024
NHRx_MAC_listing_weekly_changes.pdf
0.26 MB
Nov 28' 2025
NHRx_MAC_listing.pdf
0.69 MB
Nov 09' 2025
NHRx_MAC_Price_Research_Request_Form.pdf
0.88 MB
Oct 01' 2024
COVID-19 Testing and Treatment Group Coverage Ending
0.2 MB
Mar 07' 2023
Notification 01.03.2025 PDL Updates-Web Portal Info-Email
0.2 MB
Jan 07' 2025
Notification 01.08.2025 PERM Audit
0.06 MB
Jan 08' 2025
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 06.11.2025 - July PDL and CC update
0.22 MB
Jun 11' 2025
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 08.29.2025 - October 1 PDL-Brand over Generic update
0.24 MB
Aug 29' 2025
Notification 09.12.2025 - October 20 Prescription Copay Update
0.14 MB
Sep 12' 2025
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 10.09.2025 - GLP-1 Coverage Change
0.23 MB
Oct 09' 2025
Notification 10.1.2024 COVID Update
0.21 MB
Sep 25' 2024
Notification 12.01.2025 - January PDL and CC update
0.28 MB
Dec 01' 2025
Notification 12.02.2024 Clinical PA Updates-Web Portal Info-Email
0.23 MB
Dec 02' 2024
Notification 12.1.2023 Carve out Program effective 1.1.2024
0.21 MB
Dec 01' 2023
Notification 340B Program 2.2025
0.13 MB
Feb 07' 2025
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
Brand over Generic List Effective 10.1.2025
0.21 MB
Aug 29' 2025
CMS Rebate Participating Manufacturers
0.3 MB
Jul 11' 2025
Diabetic Supply List - Effective 10.1.2025
0.15 MB
Sep 25' 2025
Dose Optimization Program
0.21 MB
Apr 29' 2025
MAC Price Research Request Form
1.75 MB
Sep 30' 2024
Maintenance Medications
0.17 MB
Oct 03' 2024
NH FFS MAC monthly summary
0.69 MB
Sep 09' 2025
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Payer Specification
0.74 MB
Oct 03' 2024
Pharmacy Provider Manual
0.77 MB
Oct 15' 2025
Preferred Drug List - Effective 10.1.2025
0.59 MB
Oct 07' 2025
Preferred Drug List - Effective 7.14.2025
0.6 MB
Aug 04' 2025
Quantity Limit Program
0.28 MB
Aug 04' 2025
Third Party Liability Other Payer ID Codes
0.15 MB
Mar 10' 2023
Dose Optimization Program
0.21 MB
Apr 29' 2025
Maintenance Medications
0.17 MB
Oct 03' 2024
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Preferred Drug List - 7.14.2025
0.6 MB
Aug 04' 2025
Preferred Drug List - Effective 10.1.2025
0.59 MB
Oct 07' 2025
Quantity Limit Program
0.28 MB
Aug 04' 2025
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
Diabetic Supply Covered Items List - Effective 10.1.2024
0.16 MB
Oct 30' 2024
Diabetic Supply Covered Items List - Updated 7.17.2025
0.21 MB
Sep 19' 2025
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 2.3.2025
0.67 MB
Jul 05' 2025
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
Preferred Drug List - Effective 9.1.2024
0.62 MB
Feb 03' 2025
Trading Partners FTP Instructions
0.44 MB
Oct 01' 2025
Adenosine Triphosphate-Citrate Lyase Criteria
0.2 MB
Jul 05' 2025
Asthma-Allergy Immunomodulator Criteria
0.2 MB
Oct 04' 2024
Bowel Disorders.GI Motility, Chronic Criteria
0.17 MB
Oct 04' 2024
BPH Criteria
0.15 MB
Dec 16' 2024
Brand Name Multisource Drug Criteria
0.16 MB
Jul 05' 2025
Buprenorphine-Naloxone and Buprenorphine (Oral) Criteria
0.17 MB
Jul 05' 2025
Carisoprodol and Combination Criteria
0.17 MB
Jul 05' 2025
Casgevy Criteria
0.22 MB
Mar 26' 2025
CGRP Inhibitor Criteria
0.21 MB
Dec 16' 2024
Cholestatic Pruritus Criteria
0.16 MB
Mar 26' 2025
CNS Stimulants (ADHD.ADD) Criteria
0.2 MB
Oct 04' 2024
Codeine for Pediatric Use Criteria
0.18 MB
Dec 16' 2024
Convenience Kits Criteria
0.14 MB
Dec 16' 2024
Duchenne Muscular Dystrophy Agents Criteria
0.17 MB
Oct 04' 2024
Dupixent Criteria
0.21 MB
Dec 16' 2024
Elevidys Criteria
0.14 MB
Mar 26' 2025
Epidermolysis Bullosa Criteria
0.17 MB
Mar 26' 2025
GLP-1 Receptor Agonist Criteria
0.17 MB
Jul 05' 2025
Hematopoietic Agent Criteria
0.15 MB
Oct 04' 2024
Hemophilia B Gene Therapy Criteria
0.14 MB
Mar 26' 2025
Hepatitis C Criteria
0.32 MB
Dec 16' 2024
Hetlioz Criteria
0.19 MB
Jul 05' 2025
Human Growth Hormones Criteria
0.27 MB
Jul 05' 2025
Hyaluronic Acid Derivatives Injection Criteria
0.18 MB
Dec 16' 2024
Imcivree Criteria effective 1.1.2026
0.2 MB
Oct 09' 2025
Juxtapid Criteria
0.18 MB
Dec 16' 2024
Kebilidi Criteria
0.2 MB
Jul 09' 2025
Lenmeldy Criteria
0.15 MB
Mar 26' 2025
Long-acting Opioid Analgesic Criteria
0.2 MB
Dec 16' 2024
Lyfgenia Criteria
0.28 MB
Mar 26' 2025
MACE-Wegovy Criteria effective 1.1.2026
0.21 MB
Oct 09' 2025
MASH Criteria effective 1.1.2026
0.2 MB
Oct 09' 2025
Methadone Criteria
0.19 MB
Jul 05' 2025
Monoclonal Antibody for Alzheimer's Criteria
0.2 MB
Dec 16' 2024
Morphine Milligram Equivalent (MME) Criteria
0.16 MB
Jul 05' 2025
Movement Disorders Criteria
0.14 MB
Dec 16' 2024
New Drug Product Criteria
0.14 MB
Jul 05' 2025
Niemann-Pick Criteria
0.18 MB
Jul 09' 2025
Oral Isotretinoin Criteria
0.17 MB
Jul 05' 2025
OSA-Zepbound Criteria effective 1.1.2026
0.2 MB
Oct 09' 2025
PCSK9 Criteria
0.18 MB
Jul 05' 2025
Primary Biliary Cholangitis Criteria
0.19 MB
Mar 26' 2025
Psychoactive Meds for Children under 5 Criteria
0.16 MB
Jul 05' 2025
Psychotropic Meds Duplicate Therapy Peds 6 and above Criteria
0.13 MB
Jul 05' 2025
Pulmonary Arterial Hypertension PDE-5 Criteria
0.14 MB
Jul 05' 2025
Rezdiffra Criteria
0.16 MB
Mar 26' 2025
Rho Kinase Inhibitor Criteria
0.16 MB
Dec 16' 2024
Roctavian Criteria
0.16 MB
Jul 05' 2025
Second-Line Antifungal Criteria
0.18 MB
Jul 05' 2025
Short-Acting Fentanyl Criteria
0.19 MB
Oct 04' 2024
Skin Disorders Criteria
0.22 MB
Jul 05' 2025
Skysona Criteria
0.19 MB
Oct 04' 2024
Spinal Muscular Atrophy Criteria
0.22 MB
Oct 04' 2024
Spravato Criteria
0.25 MB
Jul 05' 2025
Synagis Criteria
0.17 MB
Jul 05' 2025
Systemic Immunomodulator Criteria
0.31 MB
Jul 05' 2025
Topical Retinoids Criteria
0.15 MB
Dec 16' 2024
Verquvo Criteria
0.19 MB
Jul 05' 2025
Vuity Criteria
0.22 MB
Jul 05' 2025
Wakix Criteria
0.19 MB
Mar 26' 2025
Weight Management Criteria effective 1.1.2026
0.23 MB
Oct 09' 2025
Weight Management Criteria terms 12.31.2025
0.29 MB
Oct 10' 2025
Winrevair Criteria
0.16 MB
Jul 09' 2025
Zurzuvae Criteria
0.15 MB
Mar 26' 2025
Zynteglo Criteria
0.17 MB
Oct 04' 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 4.8.2025
0.13 MB
Mar 26' 2025
Agenda 5.7.2024
0.14 MB
Apr 04' 2024
Agenda 9.23.2025
0.16 MB
Aug 20' 2025
Minutes 06.02.2022
0.27 MB
Mar 13' 2023
Minutes 10.15.2024
0.27 MB
Apr 10' 2025
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 4.8.2025
0.3 MB
Sep 25' 2025
Minutes 5.7.2024
0.24 MB
Oct 18' 2024
Minutes 6.19.2023
0.23 MB
Dec 16' 2023
Adenosine Triphosphate-Citrate Lyase PA Form
1.87 MB
Jul 05' 2025
Asthma-Allergy Immunomodulator PA Form
1 MB
Oct 04' 2024
Bowel Disorders.GI Motility, Chronic PA Form
1.77 MB
Oct 04' 2024
BPH PA Form
1.72 MB
Dec 16' 2024
Brand Name Multisource Drug PA Form
1.86 MB
Jul 05' 2025
Buprenorphine-Naloxone and Buprenorphine (Oral) PA Form
1.85 MB
Jul 05' 2025
Carisoprodol and Combination PA Form
1.83 MB
Jul 05' 2025
Casgevy PA Form
1.83 MB
Mar 26' 2025
CGRP Inhibitor PA Form
1.81 MB
Dec 16' 2024
Cholestatic Pruritus PA Form
1.61 MB
Mar 26' 2025
CNS Stimulants (ADHD.ADD) PA Form
1.45 MB
Oct 04' 2024
Codeine for Pediatric Use PA Form
1.74 MB
Dec 16' 2024
Convenience Kits PA Form
1.77 MB
Dec 16' 2024
Duchenne Muscular Dystrophy PA Form.pdf
1.79 MB
Oct 04' 2024
Dupixent PA Form
1.84 MB
Dec 16' 2024
Elevidys PA Form
1.77 MB
Mar 26' 2025
Epidermolysis Bullosa PA Form
1.54 MB
Mar 26' 2025
GLP-1 Receptor Agonist PA Form
1.8 MB
Jul 05' 2025
Hematopoietic Agent PA Form
0.93 MB
Mar 26' 2025
Hemophilia B Gene Therapy PA Form
1.52 MB
Mar 26' 2025
Hepatitis C PA Form
1.77 MB
Dec 16' 2024
Hetlioz PA Form
1.75 MB
Jul 05' 2025
Human Growth Hormones PA Form
1.89 MB
Jul 05' 2025
Hyaluronic Acid Derivatives Injection PA Form
1.75 MB
Dec 16' 2024
Juxtapid PA Form
1.74 MB
Dec 16' 2024
Kebilidi PA Form
1.82 MB
Jul 05' 2025
Lenmeldy PA Form
1.78 MB
Mar 26' 2025
Long-acting Opioid Analgesic PA Form
1.79 MB
Dec 16' 2024
Lyfgenia PA Form
1.79 MB
Mar 26' 2025
Methadone PA Form
1.88 MB
Jul 05' 2025
Monoclonal Antibody for Alzheimer's PA Form
1.81 MB
Dec 16' 2024
Morphine Milligram Equivalent (MME) PA Form
1.87 MB
Jul 05' 2025
Movement Disorders PA Form
1.75 MB
Dec 16' 2024
New Drug Product PA Form
1.84 MB
Jul 05' 2025
Niemann-Pick Disease PA Form
1.77 MB
Jul 05' 2025
Non-Preferred Drug PA Form
1.75 MB
Oct 04' 2024
Oral Isotretinoin PA Form
1.83 MB
Jul 05' 2025
PCSK9 PA Form
1.82 MB
Jul 05' 2025
Primary Biliary Cholangitis PA Form
1.59 MB
Mar 26' 2025
Psychoactive Meds for Children under 5 Criteria PA Form
1.87 MB
Jul 05' 2025
Psychotropic Meds Duplicate Therapy Peds 6 and above PA Form
1.87 MB
Jul 05' 2025
Pulmonary Arterial Hypertension PDE-5 PA Form
1.86 MB
Jul 05' 2025
Rezdiffra PA Form
1.75 MB
Mar 26' 2025
Rho Kinase Inhibitor PA Form
1.69 MB
Dec 16' 2024
Roctavian PA Form
1.84 MB
Jul 05' 2025
Second-Line Antifungal PA Form
1.81 MB
Jul 05' 2025
Short-Acting Fentanyl PA Form
0.98 MB
Oct 04' 2024
Skin Disorders PA Form
1.95 MB
Jul 05' 2025
Skysona PA Form
1.77 MB
Oct 04' 2024
Spinal Muscular Atrophy PA Form
1.81 MB
Oct 04' 2024
Spravato PA Form
1.87 MB
Jul 05' 2025
Synagis PA Form
1.89 MB
Jul 05' 2025
Systemic Immunomodulators Medication PA Form
1.86 MB
Jul 05' 2025
Topical Retinoids PA Form
1.77 MB
Dec 16' 2024
Verquvo PA Form
1.79 MB
Jul 05' 2025
Vuity PA Form
1.76 MB
Jul 05' 2025
Wakix PA Form
1.74 MB
Mar 26' 2025
Weight Management PA Form
1.95 MB
Jul 05' 2025
Winrevair PA Form
1.79 MB
Jul 05' 2025
Zurzuvae PA Form
1.73 MB
Mar 26' 2025
Zynteglo PA Form
1.77 MB
Oct 04' 2024
NHRx_MAC_listing_weekly_changes.pdf
0.26 MB
Nov 28' 2025
NHRx_MAC_listing.pdf
0.69 MB
Nov 09' 2025
NHRx_MAC_Price_Research_Request_Form.pdf
0.88 MB
Oct 01' 2024
COVID-19 Testing and Treatment Group Coverage Ending
0.2 MB
Mar 07' 2023
Notification 01.03.2025 PDL Updates-Web Portal Info-Email
0.2 MB
Jan 07' 2025
Notification 01.08.2025 PERM Audit
0.06 MB
Jan 08' 2025
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 06.11.2025 - July PDL and CC update
0.22 MB
Jun 11' 2025
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 08.29.2025 - October 1 PDL-Brand over Generic update
0.24 MB
Aug 29' 2025
Notification 09.12.2025 - October 20 Prescription Copay Update
0.14 MB
Sep 12' 2025
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 10.09.2025 - GLP-1 Coverage Change
0.23 MB
Oct 09' 2025
Notification 10.1.2024 COVID Update
0.21 MB
Sep 25' 2024
Notification 12.01.2025 - January PDL and CC update
0.28 MB
Dec 01' 2025
Notification 12.02.2024 Clinical PA Updates-Web Portal Info-Email
0.23 MB
Dec 02' 2024
Notification 12.1.2023 Carve out Program effective 1.1.2024
0.21 MB
Dec 01' 2023
Notification 340B Program 2.2025
0.13 MB
Feb 07' 2025
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
Brand over Generic List Effective 10.1.2025
0.21 MB
Aug 29' 2025
CMS Rebate Participating Manufacturers
0.3 MB
Jul 11' 2025
Diabetic Supply List - Effective 10.1.2025
0.15 MB
Sep 25' 2025
Dose Optimization Program
0.21 MB
Apr 29' 2025
MAC Price Research Request Form
1.75 MB
Sep 30' 2024
Maintenance Medications
0.17 MB
Oct 03' 2024
NH FFS MAC monthly summary
0.69 MB
Sep 09' 2025
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Payer Specification
0.74 MB
Oct 03' 2024
Pharmacy Provider Manual
0.77 MB
Oct 15' 2025
Preferred Drug List - Effective 10.1.2025
0.59 MB
Oct 07' 2025
Preferred Drug List - Effective 7.14.2025
0.6 MB
Aug 04' 2025
Quantity Limit Program
0.28 MB
Aug 04' 2025
Third Party Liability Other Payer ID Codes
0.15 MB
Mar 10' 2023
Dose Optimization Program
0.21 MB
Apr 29' 2025
Maintenance Medications
0.17 MB
Oct 03' 2024
Non-Legend Drug List
0.15 MB
Oct 03' 2024
Preferred Drug List - 7.14.2025
0.6 MB
Aug 04' 2025
Preferred Drug List - Effective 10.1.2025
0.59 MB
Oct 07' 2025
Quantity Limit Program
0.28 MB
Aug 04' 2025
Multi-Ingredient Compound Reference
0.16 MB
Oct 03' 2024
Verborgen
