Medicaid covered drugs 2019
[PDF File] Medi-Cal Rx Contract Drugs List - California
http://5y1.org/file/11249/medi-cal-rx-contract-drugs-list-california.pdf
Medi-Cal program. Legend drugs not listed may be covered subject to authorization from a Medi-Cal consultant. Non-Legend Over-the-Counter Drugs Non-legend Over-the-Counter (OTC) drugs that are listed in the Contract Drugs List are covered by the Medi-Cal program. OTC drugs not listed, and not otherwise excluded, may be
[PDF File] List of Covered Drugs (Formulary) - Amerigroup
http://5y1.org/file/11249/list-of-covered-drugs-formulary-amerigroup.pdf
This is a list of drugs that members can get in Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan). Amerigroup STAR+PLUS MMP is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year.
[PDF File] Medicaid List of Covered Drugs - IMCare Division
http://5y1.org/file/11249/medicaid-list-of-covered-drugs-imcare-division.pdf
The information included in this list of covered drugs was correct as of 10/2021. To see the most current information, please visit the IMCare website at www.imcare.org. If you have questions, contact Member Services at the number listed on this page. You can ask for a printed copy of this Medicaid List of Covered Drugs at any time.
[PDF File] Tennessee CoverRx Covered Drug List - Effective 1/1/202
http://5y1.org/file/11249/tennessee-coverrx-covered-drug-list-effective-1-1-202.pdf
Tennessee CoverRx Covered Drug List - Effective 1/1/2024 ANTIBIOTICS. ANTIVIRALS (CONT'D) BEHAVIORAL HEALTH (CONT'D) CHOLESTEROL. Amoxicillin *QUANTITY LIMITS: Citalopram tablets; Atorvastatin; Amoxicillin / Clavulanate; Molnupiravir: 40 capsules per 5 days Clozapine (except 200 mg tablets)
[PDF File] MAGELLAN Rx STANDARD FORMULARY
http://5y1.org/file/11249/magellan-rx-standard-formulary.pdf
This prescription drug may only be covered if you meet the minimum or maximum age limit. C Custom This drug has unique restrictions. S Specialty Drug Specialty drugs are high-cost drugs used to treat complex or rare conditions. Some examples of the diseases include; multiple sclerosis, rheumatoid arthritis, hepatitis C, and hemophilia. MED ...
[PDF File] Medicaid List of Covered Drugs (Formulary) - Blue Cross MN
http://5y1.org/file/11249/medicaid-list-of-covered-drugs-formulary-blue-cross-mn.pdf
Medicaid List of Covered Drugs (Formulary) Blue Plus. Blue Advantage (Families and Children*, MSC+) and MinnesotaCare. (*This is also known as the Prepaid Medical Assistance Program (PMAP)) Blue Plus 1800 Yankee Doodle Road Eagan, MN 55122 Member Services: 1-800-711-9862 (toll free), TTY 711, Monday through Friday from 8 …
[PDF File] Preferred Drug List
http://5y1.org/file/11249/preferred-drug-list.pdf
4/1/2024. Preferred Drug List. Prescribers may request an override for non-preferred drugs by calling the Magellan Medicaid Administration (MMA) Help Desk at: Toll Free 1- 800-424-7895 and choose the PDL option. This Preferred …
[PDF File] Minnesota Fee-for-Service Medicaid Preferred Drug List
http://5y1.org/file/11249/minnesota-fee-for-service-medicaid-preferred-drug-list.pdf
Minnesota Fee-for-Service and Managed Care Medicaid Uniform Preferred Drug List effective July 1, 2019 . Managed Care Organizations (MCOs) that offer drug benefits to Minnesota Health Care Programs (MHCP) members must use the Minnesota Department of Human Services’ (DHS) Uniform PDL beginning July 1, 2019.
[PDF File] New York Medicaid Fee-For-Service (FFS) 2019 Drug Utilization …
http://5y1.org/file/11249/new-york-medicaid-fee-for-service-ffs-2019-drug-utilization.pdf
This resulted in an estimated total cost avoidance of $55.4 million dollars . The FFS spend, net of all rebates, for the reporting period for all drugs was $198.7 million dollars. The estimated DUR cost avoidance therefore represents twenty-seven and nine tenths percent (27.9%) of the total net spend.
[PDF File] List of Covered Drugs (Formulary) - Ohio - Buckeye Health Plan
http://5y1.org/file/11249/list-of-covered-drugs-formulary-ohio-buckeye-health-plan.pdf
Buckeye Health Plan – MyCare Ohio (Medicare-Medicaid Plan) 2019 List of Covered Drugs (Formulary) Introduction This document is called the List of Covered Drugs (also known as the Drug List). It tells you which prescription drugs and over-the-counter drugs and items are covered by Buckeye Health Plan - MyCare Ohio.
[PDF File] Louisiana Medicaid Preferred Drug List (PDL)/Non-Preferred Drug …
http://5y1.org/file/11249/louisiana-medicaid-preferred-drug-list-pdl-non-preferred-drug.pdf
LA Medicaid Preferred Drug List (PDL)/Non-Preferred Drug List (NPDL) Effective Date: January 1, 2024 (updated April 1, 2024) Additional Point-of-Sale (POS) Edits May Apply Drugs highlighted in yellow indicate a new addition or a change in status Page | 2 Descriptive Therapeutic Class Drugs on PDL Drugs on NPDL which Require Prior …
[PDF File] North Dakota Medicaid Preferred Drug List (PDL)
http://5y1.org/file/11249/north-dakota-medicaid-preferred-drug-list-pdl.pdf
North Dakota Medicaid . Preferred Drug List (PDL) & Prior Authorization Criteria . Published By: Medical Services Division. North Dakota Department of Human Services. 600 E Boulevard Ave Dept 325. Bismarck, ND 58505-0250 . August 2019 . Version 2019.5 . Effective: September 1, 2019 . ... OTC drugs are not covered unless specified.
[PDF File] Connecticut Medicaid Preferred Drug List (PDL)
http://5y1.org/file/11249/connecticut-medicaid-preferred-drug-list-pdl.pdf
Connecticut Medicaid Preferred Drug List (PDL) Preferred Drug Brand Name Preferred OTC Product Chewable Diagnosis Code Link Prior Authorization Link DRONABINOL CAPSULE (ORAL) DROSPIRENONE-EE 3-0.02 MG TAB (ORAL) DROSPIRENONE-EE 3-0.03 MG TAB (ORAL) DROXIA CAPSULE (ORAL) DULERA INHALER (INHALATION) …
[PDF File] CONNECTICUT MEDICAID ACNE AGENTS, TOPICAL ‡ …
http://5y1.org/file/11249/connecticut-medicaid-acne-agents-topical-‡.pdf
Connecticut Medicaid PDL PA Form APAP / CODEINE #2, #3, #4 TABLET (ORAL) METRONIDAZOLE VAGINAL 0.75% GEL (VAGINAL) VENLAFAXINE ER CASPULES (not TABLET) ... • "OTC" notation will appear for OTC Products Covered for clients over the age of 21 Dept of Social Services Rx Consultant 1-860-424-5150 …
[PDF File] 2019 Formulary (List of Covered Drugs) - Simply Healthcare Plans
http://5y1.org/file/11249/2019-formulary-list-of-covered-drugs-simply-healthcare-plans.pdf
2019 Formulary (List of Covered Drugs) Please read: This document contains information about the drugs we cover in this plan. This formulary was updated on October 1, 2018. For more recent information or other questions, please contact Simply Level (HMO SNP), Member Services Department toll-free at 1-877-577-0115 or, for TTY users, 711.
[PDF File] Medicaid-Approved Preferred Drug List - MMITNetwork
http://5y1.org/file/11249/medicaid-approved-preferred-drug-list-mmitnetwork.pdf
Medicaid-Approved Preferred Drug List Effective March 1, 2024 Legend In each class, drugs are listed alphabetically by either brand name or generic name. Brand name drug: Uppercase in bold type Generic drug: Lowercase in plain type AL: Age Limit Restrictions DO: Dose Optimization Program GR: Gender Restriction
[PDF File] Texas Preferred Drug List
http://5y1.org/file/11249/texas-preferred-drug-list.pdf
identifies the list of Medicaid-covered drugs and whether the drug requires prior authorization Preferred Drug List ... Medicaid Preferred Drug List by the therapeutic class and contains a subset of many, but not all, drugs on the Medicaid formulary. Drugs identified on the PDL as “preferred” are available without prior authorization unless ...
[PDF File] Illinois Medicaid Preferred Drug List
http://5y1.org/file/11249/illinois-medicaid-preferred-drug-list.pdf
Illinois Medicaid Preferred Drug List Effective April 1, 2023 The Preferred Drug List (PDL) has products listed in groups by drug class, drug name, dosage form, and PDL status ... For drugs not found on this list, go to the drug search engine at: www.ilpriorauth.com 3/6/2023 8:01:09 AM Page 1 of 147.
[PDF File] Coverage of Over-the-Counter Drugs in Medicaid - National …
http://5y1.org/file/11249/coverage-of-over-the-counter-drugs-in-medicaid-national.pdf
“prescribed drugs” as the larger category of drugs for which federal Medicaid funds are available, which includes, but is not limited to, “covered outpatient drugs,” stating that: “‘covered outpatient drugs’ are a subset of prescribed drugs.”11 The concept of a prescribed drug is defined in regulation as:
[PDF File] Coverage of Over-the-Counter Drugs in Medicaid - National …
http://5y1.org/file/11249/coverage-of-over-the-counter-drugs-in-medicaid-national.pdf
Medicaid dollars for OTC drugs if they are prescribed.7 States may also provide OTC drugs that are not prescribed to their Medicaid beneficiaries with state funds. OTCs that are prescribed by an authorized prescriber fall into two categories. First, some OTC drugs are considered “covered outpatient drugs” under the Medicaid Act.
[PDF File] Neighborhood INTEGRITY (Medicare-Medicaid Plan) 2019 …
http://5y1.org/file/11249/neighborhood-integrity-medicare-medicaid-plan-2019.pdf
2019 Formulary: List of covered drugs PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN If you have questions, please call Neighborhood INTEGRITY at 1-844-812-6896, 8am to 8pm, Monday – Friday; 8am to 12pm on Saturday. On Saturday afternoons, Sundays and holidays, you may be …
[PDF File] Medicaid-Approved Preferred Drug List - MMITNetwork
http://5y1.org/file/11249/medicaid-approved-preferred-drug-list-mmitnetwork.pdf
Medicaid-Approved Preferred Drug List. Effective July 1, 2021. Legend . In each class, drugs are listed alphabetically by either brand name or generic name. Brand name drug: Uppercase in bold type . Generic drug: Lowercase in plain type . AL: Age Limit Restrictions . DO: Dose Optimization Program . GR: Gender Restriction . OTC:
[PDF File] Texas Medicaid Quick Reference Guide - TMHP
http://5y1.org/file/11249/texas-medicaid-quick-reference-guide-tmhp.pdf
Page 2 of 16 Texas Medicaid Program Quick Reference Guide | Revised 12/26/2019 Contact Information General Medicaid Contact Information GENERAL CORRESPONDENCE Unless otherwise indicated below, direct all written ... Some Medicaid-covered drugs may require prior authorization through PA Texas. PA Call …
[PDF File] 10 Things to Know about Medicaid: Setting the Facts Straight
http://5y1.org/file/11249/10-things-to-know-about-medicaid-setting-the-facts-straight.pdf
Medicaid provides health and long-term care for millions of America’s poorest and most vulnerable people, acting as a high risk pool for the private insurance market. In FY 2017, Medicaid covered over 75 million low-income Americans. As of February 2019, 37 states have adopted the Medicaid expansion.
[PDF File] Medicaid-Approved Preferred Drug List - MMITNetwork
http://5y1.org/file/11249/medicaid-approved-preferred-drug-list-mmitnetwork.pdf
Medicaid-Approved Preferred Drug List Effective March 1, 2024. Legend . In each class, drugs are listed alphabetically by either brand name or generic name. Brand name drug: Uppercase in bold type . Generic drug: Lowercase in plain type . AL: Age Limit Restrictions . DO: Dose Optimization Program . GR: Gender Restriction . OTC:
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