Pennsylvania 2020 Formulary List of Covered Drugs PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 00020306, Version Number 20 This formulary was updated on 12/01/2020. Pennsylvania Department of Human Services Preferred Drug List (PDL) Effective January 8, 2018 ACNE AGENTS, TOPICAL Preferred Agents Non-Preferred Agents Prior Authorization Acanya AzelexAR BenzaClin Gel BenzaClin Gel Pump Benzoyl Peroxide 3% Cleanser (OTC) Benzamycin Gel 5% Gel (OTC) 5% Lotion (OTC) 5% Wash (OTC) 10% Gel (OTC) 10% Lotion (OTC) 10% Wash (OTC) Differin 1% Cream, … What is a Preferred Drug List (PDL)? Perform the search via the following steps: Search for a Drug by Name, First Letter, or by Therapeutic Class. HPMS Approved Formulary File Submission ID 20445, Version Number 24 . Preferred Drug List The Pennsylvania Health and Wellness Health Plan utilizes a combination of the Pennsylvania Medical Assistance Program Statewide Preferred Drug List (PDL) as well as a supplemental drug list to determine drugs covered by your prescription benefit. Preferred Drug List The Pennsylvania Health and Wellness Health Plan utilizes a combination of the Pennsylvania Medical Assistance Program Statewide Preferred Drug List (PDL) as well as a supplemental drug list to determine drugs covered by your prescription benefit. Government that Works. PA Health & Wellness is committed to providing appropriate, high-quality, and cost-effective drug therapy to all PA Health & Wellness participants. This list is for drugs and products outside the scope of the Statewide PDL. You may search the AmeriHealth Caritas Pennsylvania Drug Formulary in several ways: You can use the alphabetical list to search by the first letter of your medication. Provide universal access to high-quality early childhood education. You may view the Statewide PDL at https://papdl.com. LIST OF COVERED DRUGS (FORMULARY) Michigan Complete Health (Medicare-Medicaid Plan) Note to existing members: This formulary has changed since last year. Please review the changes and update your references as necessary. November 13, 2019 . Drug Formulary Updated October 1st, 2020 Section 1 – Guidelines Section 2 – List of Covered Drugs by Class Section 3 – List of Covered Drugs by Alphabetical Order. If searching by therapeutic class, select a subclass. 850 Philadelphia PA 19103 . This is a drug list created by Aetna Better Health in Pennsylvania (“plan”). Pennsylvania’s Medicaid Managed Care Organizations (MCOs) currently pay for approximately 95% of the state’s Medicaid prescriptions. Superior HealthPlan follows the Texas Medicaid Vendor Drug Formulary and the Preferred Drug List. The statewide PDL was developed by the Department of Human Services (DHS) Pharmacy and Therapeutics (P&T) Committee. Medicaid Member Preferred Drug List. If you have questions, please call Michigan Complete … The plan will cover n drugs on this list. For more up-to-date information or if you have any questions, please call Customer Service at: Toll-free 1-800-290-4009, TTY 711 8am-8pm: 7 Days Oct-Mar; M-F Apr-Sept www.UHCCommunityPlan.com … Services (DHS) will implement a statewide preferred drug list (PDL). The Ambetter from PA Health & Wellness Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug Administration (FDA) and covered through your prescription drug benefit. For Medicaid members, the list of covered drugs is the Statewide Preferred Drug List (PDL) from the Pennsylvania Department of Human Services (DHS). The Department of Human Services (DHS) implemented a statewide Preferred Drug List (PDL) effective on Jan. 1, 2020. 10/1/2020 PDL Updates (Opens in a new tab) (pdf 142.03KB) (Last Updated: 09/16/2020) 7/1/2020 PDL Updates (Opens in a new tab) (pdf 139.18KB) (Last Updated: 05/19/2020) 4/1/2020 PDL Updates (Opens in a new tab) (pdf … The purpose of this bulletin is to inform providers about updates to the Statewide Preferred Drug List (PDL), effective Jan. 5, 2021. Aetna Better Health of Pennsylvania also covers drugs and products that are not on the DHS Preferred Drug List. Preferred Drug List - UnitedHealthcare Supplemental Preferred Drug List ... Pennsylvania Statewide Preferred Drug List - Effective 1/1/2020. That Drug are met, the plan will cover drugs on this List appropriate, high-quality, cost-effective... Included on the Statewide PDL in the Supplemental Formulary this DOCUMENT CONTAINS ABOUT! 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