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Brand Preferred 10.1.2025.pdf Dec 31, 2025 2:54:10 PM

CMS Tamper Resistant Prescription Pad Implementation.pdf Mar 10, 2023 2:39:58 PM

CMS Tamper Resistant Prescription Pad Law_FAQ.pdf Mar 10, 2023 2:09:54 PM

CMS Tamper Resistant Prescription Pad Law_Pharmacist Fact Sheet.pdf Mar 10, 2023 2:08:23 PM

CMS Tamper Resistant Prescription Pad Law_Pharmacist Info.pdf Mar 10, 2023 2:32:55 PM

CMS TRPP State Medicaid Director Letter.pdf Mar 10, 2023 2:01:59 PM

Diabetic Supply Covered Items List.pdf Mar 15, 2024 12:43:15 PM

NH DSP LIST 20240315.pdf Oct 30, 2024 1:27:17 PM

NH DSP LIST 20241101.pdf Sep 19, 2025 12:04:12 PM

DUR Agenda 03.20.2017.pdf Mar 13, 2023 12:53:57 PM

DUR Agenda 05.12.2015.pdf Mar 13, 2023 12:53:17 PM

DUR Agenda 05.20.2014.pdf Mar 13, 2023 12:51:20 PM

DUR Agenda 05.31.2016.pdf Mar 13, 2023 12:53:30 PM

DUR Agenda 10.11.2016.pdf Mar 13, 2023 12:53:43 PM

DUR Agenda 10.24.2017.pdf Mar 13, 2023 12:54:11 PM

New Hampshire Medicaid Standing Orders OTC COVID Test Kits and Naloxone.pdf Jan 2, 2024 8:58:43 PM

Notification 01.01.2019 Diabetic Supply Program.pdf Jan 2, 2024 8:34:02 PM

Notification 01.09.2015 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 12:59:26 PM

Notification 01.10.2017 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 12:57:03 PM

Notification 01.12.2021 Pharmacist Provider Enrollment.pdf Jan 2, 2024 8:53:58 PM

Notification 01.21.2022 At-Home OTC COVID-19 Test Kits.pdf Jan 2, 2024 8:56:25 PM

Notification 02.01.2022 Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:50:59 PM

Notification 03.12.2021 COVID-19 POS Billing Guidance update.pdf Jan 2, 2024 8:55:24 PM

Notification 03.12.2021 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:55:05 PM

Notification 03.16.2020 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:37:21 PM

Notification 04.01.2021 COVID-19 POS Billing Guidance update.pdf Jan 2, 2024 8:56:45 PM

Notification 04.02.2013 Change in TPL Field Length.pdf Mar 13, 2023 1:03:53 PM

Notification 04.14.2022 At-Home OTC COVID-19 Test Kits.pdf Jan 2, 2024 8:56:37 PM

Notification 04.22.2022 Diabetic Supply Program.pdf Jan 2, 2024 8:35:16 PM

Notification 05.01.2019 Diabetic Supply Program.pdf Jan 2, 2024 8:34:12 PM

Notification 05.17.2012 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 1:06:44 PM

Notification 05.26.2017 Updated Fiscal Impact Regarding Outpatient Drug Rule.pdf Mar 13, 2023 12:55:54 PM

Notification 06.14.2019 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:36:36 PM

Notification 06.16.2017 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 12:48:28 PM

Notification 07.01.2019 Diabetic Supply Program.pdf Jan 2, 2024 8:36:55 PM

Notification 07.03.2014 Changes to Copay.pdf Mar 13, 2023 1:02:49 PM

Notification 07.06.2021 Non-Enrolled Prescriber Edit.pdf Jan 2, 2024 8:55:46 PM

Notification 07.20.2016 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 12:57:42 PM

Notification 07.25.2012 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 1:06:09 PM

Notification 07.30.2019 340B Drug Discount Program_Effective 09.01.2019.pdf Jan 2, 2024 8:34:25 PM

Notification 08.01.2014 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 1:02:16 PM

Notification 08.01.2019 PDL and Changes to Pharmacy Carve Out.pdf Jan 2, 2024 8:37:38 PM

Notification 08.01.2022 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:40:04 PM

Notification 08.04.2013 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 1:03:14 PM

Notification 08.21.2018 Diabetic Supply Program.pdf Jan 2, 2024 8:31:22 PM

Notification 08.22.2012 Diabetic Supply Program Update.pdf Mar 13, 2023 1:05:44 PM

Notification 08.24.2015 PDL Transition.pdf Mar 13, 2023 12:58:24 PM

Notification 08.24.2015 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 12:58:54 PM

Notification 09.01.2020 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:37:30 PM

Notification 09.01.2021 COVID-19 POS Billing Guidance.pdf Jan 2, 2024 8:55:37 PM

Notification 09.07.2021 Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:55:57 PM

Notification 10.01.2019 Diabetic Supply Program.pdf Jan 2, 2024 8:37:07 PM

Notification 10.01.2021 Diabetic Supply Program.pdf Jan 2, 2024 8:35:30 PM

Notification 10.01.2022 Diabetic Supply Program.pdf Jan 2, 2024 8:35:43 PM

Notification 10.08.2017 Emergency Drug Coverage Reminder.pdf Mar 13, 2023 12:48:48 PM

Notification 10.30.2014 NHHPP Reinstatement of Co-Pays.pdf Mar 13, 2023 1:01:19 PM

Notification 11.04.2021 Pediatric Influenza Vaccines through POS.pdf Jan 2, 2024 8:55:15 PM

Notification 11.05.2020 340B Discount Program Effective_1.1.2021.pdf Jan 2, 2024 8:34:45 PM

Notification 11.28.2018 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:36:46 PM

Notification 12.01.2021 Clinical PA Updates-Web Portal Info-Email.pdf Jan 2, 2024 8:38:11 PM

Notification 12.05.2018 Diabetic Supply Program.pdf Jan 2, 2024 8:32:06 PM

Notification 12.06.2012 Benzodiazepines and Barbiturates in Dual Eligibles.pdf Mar 13, 2023 1:05:13 PM

Notification 12.07.2012 Diabetic Supply Program.pdf Mar 13, 2023 1:04:32 PM

Notification 12.10.2020 Prescriber Soft Edit.pdf Jan 2, 2024 8:51:24 PM

Notification 12.15.2017 PDL-Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 12:49:11 PM

Notification 12.23.2020 COVID-19 POS Billing Guidance.pdf Jan 2, 2024 8:53:42 PM

Notification 12.31.2020 COVID-19 Billing Guidance update.pdf Jan 2, 2024 8:40:36 PM

NHRx_PDL (8).pdf Dec 31, 2025 2:54:23 PM

NHRx_PDL 2.3.2025.pdf Jul 5, 2025 6:54:17 PM

NHRx_PDL_20240301..pdf Mar 4, 2024 8:18:28 PM

Preferred Drug List - Effective 7.1.2023.pdf Mar 4, 2024 8:18:57 PM

NHRx_PDL.pdf Feb 3, 2025 2:59:31 PM

Trading Partners FTP Instructions.pdf Oct 1, 2025 1:28:10 PM

Adenosine Triphosphate-Citrate Lyase Criteria.pdf Jul 5, 2025 7:11:55 PM

Asthma Allergy Immunomodulator Criteria.pdf Dec 16, 2025 8:56:11 PM

Bowel Disorders-GI Motility Chronic Criteria.pdf Dec 16, 2025 8:56:30 PM

BPH Criteria.pdf Dec 16, 2024 6:31:01 PM

Brand Name Multisource Drug Criteria.pdf Jul 5, 2025 7:39:57 PM

Buprenorphine-Naloxone and Buprenorphine (Oral) Criteria.pdf Jul 5, 2025 7:40:17 PM

Carisoprodol and Combination Criteria.pdf Jul 5, 2025 7:41:58 PM

Casgevy Criteria.pdf Mar 26, 2025 5:59:23 PM

CGRP Inhibitor Criteria.pdf Dec 16, 2025 8:56:51 PM

Cholestatic Pruritus Criteria.pdf Dec 16, 2025 9:01:22 PM

CNS Stimulants Criteria.pdf Dec 16, 2025 9:02:36 PM

Codeine for Pediatric Use Criteria.pdf Dec 16, 2025 9:03:21 PM

Convenience Kits Criteria.pdf Dec 16, 2024 6:33:08 PM

Crenessity Criteria.pdf Dec 18, 2025 4:15:02 AM

Duchenne Muscular Dystrophy Agents Criteria.pdf Dec 16, 2025 9:05:57 PM

Dupixent Criteria.pdf Dec 16, 2025 9:06:22 PM

Elevidys Criteria.pdf Mar 26, 2025 6:13:08 PM

Encelto Criteria.pdf Dec 16, 2025 10:05:52 PM

Epidermolysis Bullosa Criteria.pdf Dec 16, 2025 9:05:22 PM

GLP1 Agonist Criteria.pdf Jul 5, 2025 7:13:14 PM

Hematopoietic Agent Criteria.pdf Dec 16, 2025 9:06:58 PM

Hemophilia B Gene Criteria.pdf Mar 26, 2025 6:09:05 PM

Hepatitis C Criteria.pdf Dec 16, 2024 6:34:35 PM

Hetlioz Criteria.pdf Jul 5, 2025 7:42:26 PM

Human Growth Hormones Criteria.pdf Dec 16, 2025 9:07:33 PM

Hyaluronic Acid Derivatives Injection Criteria.pdf Dec 16, 2024 6:45:17 PM

NH_Imcivree_Criteria_1.1.2026.pdf Dec 31, 2025 2:50:51 PM

Juxtapid Criteria.pdf Dec 16, 2024 6:45:51 PM

Kebilidi_Criteria.pdf Jul 9, 2025 2:51:28 PM

Lenmeldy Criteria.pdf Dec 16, 2025 9:08:05 PM

Long-acting Opioid Analgesic Criteria.pdf Dec 16, 2025 9:12:06 PM

Lyfgenia Criteria.pdf Mar 26, 2025 6:10:09 PM

NH_MACE_Wegovy_Criteria_1.1.2026.pdf Dec 31, 2025 2:51:12 PM

NH_MASH_Criteria_1.1.2026.pdf Dec 31, 2025 2:51:26 PM

Methadone Criteria.pdf Jul 5, 2025 7:42:42 PM

Monoclonal Antibody for Alzheimer's Criteria.pdf Dec 16, 2024 6:52:01 PM

Morphine Milligram Equivalent (MME) Criteria.pdf Jul 5, 2025 7:43:58 PM

Movement Disorders Criteria.pdf Dec 16, 2024 6:54:14 PM

New Drug Product Criteria.pdf Jul 5, 2025 7:44:17 PM

NiemannPick_Criteria.pdf Jul 9, 2025 2:51:58 PM

Oral Isotretinoin Criteria.pdf Jul 5, 2025 7:45:52 PM

NH_OSA_Zepbound_Criteria.pdf Jan 15, 2026 7:51:51 PM

PCSK9 Criteria.pdf Dec 16, 2025 9:14:06 PM

Primary Biliary Cholangitis Criteria.pdf Mar 26, 2025 6:10:37 PM

Psychoactive Meds for Children under 5 Criteria.pdf Jul 5, 2025 7:46:16 PM

Psychotropic Meds Duplicate Therapy Peds 6 and above Criteria.pdf Jul 5, 2025 7:47:43 PM

Pulmonary Arterial Hypertension PDE-5 Criteria.pdf Jul 5, 2025 7:15:27 PM

Rho Kinase Inhibitor Criteria.pdf Dec 16, 2024 6:56:09 PM

Roctavian Criteria.pdf Jul 5, 2025 7:48:32 PM

Second-Line Antifungal Criteria.pdf Jul 5, 2025 7:50:13 PM

Short-Acting Fentanyl Criteria.pdf Dec 16, 2025 9:15:56 PM

Skin Disorders Criteria.pdf Dec 16, 2025 9:16:55 PM

Skysona Criteria.pdf Dec 16, 2025 9:17:27 PM

Spinal Muscular Atrophy Criteria.pdf Dec 16, 2025 9:18:25 PM

Spravato Criteria.pdf Jul 5, 2025 7:16:53 PM

Synagis Criteria.pdf Jul 5, 2025 7:50:53 PM

Systemic Immunomodulator Criteria.pdf Dec 16, 2025 9:19:14 PM

Topical Retinoids Criteria.pdf Dec 16, 2024 6:59:52 PM

Tryngolza Criteria.pdf Dec 16, 2025 10:13:46 PM

Verquvo Criteria.pdf Jul 5, 2025 7:51:56 PM

Vuity Criteria.pdf Jul 5, 2025 7:52:19 PM

Vykat XR Criteria.pdf Dec 18, 2025 4:16:27 AM

Wakix Criteria.pdf Mar 26, 2025 6:12:23 PM

NH_Weight_Management_Criteria 1.1.2026.pdf Dec 31, 2025 2:52:26 PM

Winrevair_Criteria.pdf Jul 9, 2025 2:52:19 PM

Zurzuvae Criteria.pdf Dec 16, 2025 9:20:05 PM

Zynteglo Criteria.pdf Dec 16, 2025 9:20:33 PM

Agenda 03.12.2019.pdf Mar 13, 2023 12:36:56 PM

Agenda 05.03.2018.pdf Mar 13, 2023 12:38:33 PM

Agenda 06.02.2022.pdf Mar 13, 2023 12:32:00 PM

Agenda 06.08.2021.pdf Mar 13, 2023 12:35:30 PM

Agenda 06.19.2023.pdf May 17, 2023 1:19:56 PM

Agenda 06.30.2020.pdf Mar 13, 2023 12:35:02 PM

Agenda 09.27.2018.pdf Mar 13, 2023 12:37:11 PM

202410_DUR_Board_Meeting_Agenda.pdf Sep 12, 2024 12:09:59 PM

Agenda 10.28.2019.pdf Mar 13, 2023 12:34:48 PM

Agenda 12.02.2021.pdf Mar 13, 2023 12:34:33 PM

Agenda 12.13.2022.pdf Mar 13, 2023 12:34:10 PM

Agenda 12.15.2020.pdf Mar 13, 2023 12:35:17 PM

20250408_DUR_Board_Meeting_Agenda.pdf Mar 26, 2025 3:33:00 PM

202405_DUR_Board_Meeting_Agenda.pdf Apr 4, 2024 9:19:42 PM

20250923_DUR_Board_Meeting_Agenda.pdf Aug 20, 2025 11:54:00 PM

Minutes 06.02.2022.pdf Mar 13, 2023 12:32:08 PM

202410_NH_DUR_Meeting_Minutes.pdf Apr 10, 2025 1:21:46 PM

Minutes 12.02.2021.pdf Mar 13, 2023 12:31:40 PM

Minutes 12.13.2022.pdf Jun 20, 2023 10:26:04 AM

202312_NH_DUR_Meeting_Minutes.pdf May 8, 2024 8:23:21 PM

202504_NH_DUR_Meeting_Minutes.pdf Sep 25, 2025 6:45:05 PM

202405_NH_DUR_Meeting_Minutes.pdf Oct 18, 2024 7:36:19 PM

202306_NH_DUR_Meeting_Minutes_FINAL.pdf Dec 16, 2023 3:33:33 AM

Adenosine Triphosphate-Citrate Lyase PA Form.pdf Jul 5, 2025 7:20:14 PM

Asthma-Allergy Immunomodulator PA Form.pdf Dec 17, 2025 6:16:45 PM

Bowel Disorders.GI Motility, Chronic PA Form.pdf Dec 17, 2025 6:17:07 PM

BPH PA Form.pdf Dec 16, 2024 2:56:50 PM

Brand Name Multisource Drug PA Form.pdf Jul 5, 2025 7:53:34 PM

Buprenorphine-Naloxone and Buprenorphine (Oral) PA Form.pdf Jul 5, 2025 7:54:52 PM

Carisoprodol and Combination PA Form.pdf Jul 5, 2025 7:55:12 PM

Casgevy PA Form.pdf Mar 26, 2025 6:14:31 PM

CGRP Inhibitor PA Form.pdf Dec 17, 2025 6:18:56 PM

Cholestatic Pruritus PA Form.pdf Dec 17, 2025 6:19:52 PM

CNS Stimulants (ADHD.ADD) PA Form.pdf Dec 17, 2025 6:20:31 PM

Codeine for Pediatric Use PA Form.pdf Dec 17, 2025 6:20:52 PM

Convenience Kits PA Form.pdf Dec 16, 2024 3:03:00 PM

Crenessity PA Form.pdf Dec 17, 2025 9:17:34 PM

Duchenne Muscular Dystrophy PA Form.pdf Dec 17, 2025 6:32:45 PM

Dupixent PA Form.pdf Dec 17, 2025 6:33:32 PM

Elevidys PA Form.pdf Mar 26, 2025 6:15:23 PM

Encelto PA Form.pdf Dec 18, 2025 1:14:33 PM

Epidermolysis Bullosa PA Form.pdf Dec 17, 2025 6:34:12 PM

GLP-1 Receptor Agonist PA Form.pdf Jul 5, 2025 7:21:22 PM

Hematopoietic Agent PA Form.pdf Dec 17, 2025 6:36:08 PM

Hemophilia B Gene Therapy PA Form.pdf Mar 26, 2025 6:17:30 PM

Hepatitis C PA Form.pdf Dec 16, 2024 3:06:04 PM

Hetlioz PA Form.pdf Jul 5, 2025 7:55:40 PM

Human Growth Hormones PA Form.pdf Dec 17, 2025 6:38:21 PM

Hyaluronic Acid Derivatives Injection PA Form.pdf Dec 16, 2024 3:07:10 PM

Imcivree PA Form.pdf Dec 17, 2025 9:10:47 PM

Juxtapid PA Form.pdf Dec 16, 2024 3:08:01 PM

Kebilidi_Fax_Form.pdf Jul 5, 2025 7:28:12 PM

Lenmeldy PA Form.pdf Dec 17, 2025 6:42:06 PM

Long-Acting Opioid PA Form.pdf Dec 17, 2025 6:51:13 PM

Lyfgenia PA Form.pdf Mar 26, 2025 6:15:45 PM

MACE-Wegovy PA Form.pdf Dec 17, 2025 9:15:58 PM

MASH PA Form.pdf Dec 17, 2025 9:15:02 PM

Methadone PA Form.pdf Jul 5, 2025 7:56:05 PM

Monoclonal Antibody for Alzheimers PA Form.pdf Dec 16, 2024 3:14:45 PM

Morphine Milligram Equivalent (MME) PA Form.pdf Jul 5, 2025 7:56:25 PM

Movement Disorders PA Form.pdf Dec 16, 2024 3:16:04 PM

New Drug Product PA Form.pdf Jul 5, 2025 7:56:59 PM

Niemann-Pick_Disease_Fax_Form.pdf Jul 5, 2025 7:28:37 PM

Non-Preferred Drug PA Form.pdf Oct 4, 2024 8:26:17 PM

Oral Isotretinoin PA Form.pdf Jul 5, 2025 7:57:17 PM

OSA-Zepbound PA Form.pdf Dec 17, 2025 9:17:13 PM

PCSK9 PA Form.pdf Dec 17, 2025 6:53:10 PM

Primary Biliary Cholangitis PA Form.pdf Mar 26, 2025 6:17:05 PM

Psychoactive Meds for Children under 5 Criteria PA Form.pdf Jul 5, 2025 7:59:00 PM

Psychotropic Meds Duplicate Therapy Peds 6 and above PA Form.pdf Jul 5, 2025 8:00:05 PM

Pulmonary Arterial Hypertension PDE-5 PA Form.pdf Jul 5, 2025 7:23:52 PM

Rho Kinase Inhibitor PA Form.pdf Dec 16, 2024 3:17:46 PM

Roctavian PA Form.pdf Jul 5, 2025 8:00:41 PM

Second-Line Antifungal PA Form.pdf Jul 5, 2025 8:02:58 PM

Short-Acting Fentanyl PA Form.pdf Dec 17, 2025 6:54:47 PM

Skin Disorders PA Form.pdf Dec 17, 2025 6:55:59 PM

Skysona PA Form.pdf Dec 17, 2025 6:56:28 PM

Spinal Muscular Atrophy PA Form.pdf Dec 18, 2025 1:25:39 PM

Spravato PA Form.pdf Jul 5, 2025 7:25:41 PM

Synagis PA Form.pdf Jul 5, 2025 8:03:23 PM

Systemic Immunomodulators PA Form.pdf Dec 17, 2025 9:18:47 PM

Topical Retinoids PA Form.pdf Dec 16, 2024 3:31:34 PM

Tryngolza PA Form.pdf Dec 17, 2025 9:17:58 PM

Verquvo PA Form.pdf Jul 5, 2025 8:03:45 PM

Vuity PA Form.pdf Jul 5, 2025 8:04:40 PM

Vykat XR PA Form.pdf Dec 17, 2025 9:13:37 PM

Wakix PA Form.pdf Mar 26, 2025 6:16:39 PM

Weight Management PA Form.pdf Dec 18, 2025 1:25:06 PM

Winrevair_Fax_Form.pdf Jul 5, 2025 7:28:56 PM

Zurzuvae PA Form.pdf Dec 18, 2025 1:26:01 PM

Zynteglo PA Form.pdf Dec 17, 2025 7:13:43 PM

COVID-19 Testing and Treatment Group Coverage Ending.pdf Mar 7, 2023 9:35:27 AM

Notification PDL update 1.2025.pdf Jan 7, 2025 6:05:58 PM

NHCSR-BPI-1-Notification-Payment Error Rate Measurement PERM Audit Reminders-Att1-20250108.pdf Jan 8, 2025 9:18:16 PM

Notification Medicare Reminder 1.2026.pdf Jan 8, 2026 3:29:28 PM

Notification 02.01.2023 Clinical PA Updates-Web Portal Info-Email.pdf Mar 13, 2023 1:09:57 PM

Notification 03.15.2023 Pharmacist Provided Medical Services.pdf Mar 20, 2023 3:05:18 PM

Notification 03.28.2023 Standing Orders OTC COVID Test Kits.pdf Mar 28, 2023 9:19:05 AM

Notification 04.13.2023 Makena Withdrawal.pdf Apr 14, 2023 9:38:35 AM

Notification 06.01.2023 July PDL update.pdf Jun 1, 2023 7:53:18 AM

Notification CC.PDL 6.2025.pdf Jun 11, 2025 1:54:43 PM

Notification 06.20.2023 July PDL update.pdf Jun 20, 2023 8:29:00 AM

Notification 06.30.2023 August Clinical PA Updates.pdf Jun 30, 2023 10:32:42 AM

Notification PDL update 10.2025.pdf Aug 29, 2025 12:19:39 PM

Notification Copay 9.2025.pdf Sep 12, 2025 2:17:15 PM

Notification 1.23.2024 Standing Order Opioid Antagonist.pdf Jan 23, 2024 3:10:05 PM

Notification 1.26.2024 PDL.CC update effective 3.1.2024.pdf Jan 26, 2024 1:59:12 PM

Provider Notice for GLP-1s-10-9-2025.pdf Oct 9, 2025 3:03:54 PM

NH_FaxBlast_COVID update .pdf Sep 25, 2024 3:41:03 PM

Notification CC.PDL update 1.2026.pdf Dec 1, 2025 10:12:37 PM

Notification 12.2.2024.pdf Dec 2, 2024 9:53:11 PM

Notification 12.1.2023 Carve out Program effective 1.1.2024.pdf Dec 1, 2023 6:15:14 PM

Notification 340B 2.2025.pdf Feb 7, 2025 7:16:19 PM

Notification 340B Program effective Jan 2024.pdf Nov 2, 2023 4:20:32 PM

NH Notification CC update 6.14.pdf Jun 17, 2024 1:27:38 PM

Notification PDL update 8.1.2024.pdf Aug 1, 2024 2:49:45 PM

Pharmacy Language Access Services Reminder.pdf Aug 11, 2023 5:37:37 PM

Brand Preferred 1.1.2026.pdf Dec 18, 2025 9:19:46 PM

CMS Rebate Participating Manufacturers.pdf Dec 4, 2025 6:09:24 PM

NH DSP LIST 20251001.pdf Sep 25, 2025 6:29:42 PM

Dose Optimization Program.pdf Apr 29, 2025 7:49:00 PM

MAC Price Research Request Form.pdf Sep 30, 2024 8:53:56 PM

Maintenance Medications.pdf Oct 3, 2024 1:31:47 PM

NHRx_MAC_listing.pdf Sep 9, 2025 6:57:14 PM

Non-Legend Drug List.pdf Oct 3, 2024 1:45:38 PM

Payer Specification.pdf Oct 3, 2024 1:16:38 PM

Pharmacy Provider Manual - Revised 6.16.2023.pdf Oct 15, 2025 1:24:41 PM

NHRx_PDL (10).pdf Dec 16, 2025 7:37:56 PM

Quantity Limit Program.pdf Aug 4, 2025 3:03:59 PM

Third Party Liability Other Payer ID Codes.pdf Mar 10, 2023 1:26:43 PM

Dose Optimization Program.pdf Apr 29, 2025 7:49:36 PM

Maintenance Medications.pdf Oct 3, 2024 3:22:26 PM

Non-Legend Drug List.pdf Oct 3, 2024 3:22:50 PM

NH_PDL 7.14.2025.pdf Aug 4, 2025 2:42:21 PM

NHRx_PDL (8).pdf Oct 7, 2025 12:39:22 PM

Quantity Limit Program.pdf Aug 4, 2025 3:04:48 PM

Multi-Ingredient Compound Reference.pdf Oct 3, 2024 3:19:42 PM

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