Pennsylvania Medical Assistance Statewide Preferred Drug List (PDL) Pennsylvania PDL 01-01-2020 (current) Pennsylvania PDL 01-05-2021 (2021 Statewide PDL effective January 5, 2021) Develop a skilled workforce that meets the needs of Pennsylvania's business community, Provide universal access to high-quality early childhood education, Provide high-quality supports and protections to vulnerable Pennsylvanians. The Preferred Drug List (PDL) is a medication list recommended to the Bureau for Medical Services by the Medicaid Pharmaceutical and Therapeutics (P & T) Committee and approved by the Secretary of the Department of Health and Human Resources, as authorized by West Virginia Code §9-5-15. 2. PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) EXEMPTION REQUEST Page 3 of 3 F-11075 (09/2013) SECTION V — FOR PHARMACY PROVIDERS USING STAT-PA. 23. Pennsylvania Department of Human Services Statewide Preferred Drug List (PDL)* Effective January 1, 2020 The Statewide PDL is not an all-inclusive list of drugs covered by Medical Assistance. These changes may or may not affect you. Please enable scripts and reload this page. Wisconsin Medicaid, BadgerCare Plus Standard, and SeniorCare Preferred Drug List - Quick Reference Revised 3/30/2020 (Effective 04/01/2020) Page 4 of 13 Brand Before Generic Drug Refer to topic #20077 Monthly Changes to the PDL Uses PA/DGA Form/Sec. *Statewide Preferred Drug List (PDL) Effective January 1, 2020* As of January 1, 2020, all managed care organizations (MCOs) that provide outpatient drug services to Medicaid beneficiaries in Pennsylvania and the State Fee-for-Service (FFS) program will use the same Preferred Drug List (PDL). Illinois Formulary Quarterly Summary-Last updated 7/25/2019. Effective April 1, 2020 The Preferred Drug List (PDL) has products listed in groups by drug class, drug name, dosage form, and PDL status Multi-source drugs are listed by both brand and generic names when applicable ADHD Agents: Prior authorization required for participants under 6 years of age and participants 19 years of age and older MassHealth Supplemental Rebate/Preferred Drug List Link to the list of drugs preferred by MassHealth based on supplemental rebate agreements between MassHealth and drug manufacturers. INSTRUCTIONS: Type or print clearly. Prescriptions That Require Prior Authorization Prescriptions for Antipsychotics that meet any of the following conditions must be prior authorized: 1. Page 3 of 95 The list of these drugs may be found on the department's Pharmacy Prior Authorization Clinical Guidelines website under "Fee-for-Service Non-PDL Prior Authorization Guidelines". universal preferred drug list version 2020. Prescribing Policy Cheat Sheet. Department of Human Services > For Providers > Pharmacy Services > Pharmacy Services Prior Authorization Clinical Guidelines Begin Main Content Area Statewide Preferred Drug List (PDL) Effective January 1, 2020 AR = age restriction, clinical prior authorization required PA = clinical prior authorization required Non-preferred medications require prior authorization QL = quantity limit applies to FFS claims IR = immediate-release formulation ER = extended-release formulation Florida Medicaid Preferred Drug List, opens new window. The Department contracts with Change Healthcare to provide consultation and support for the Statewide PDL. For Clinic Administered Drugs- Prior authorization criteria for medication claims processed by physician/clinic billing using 837P codes can be found at the end of this document or by using this link: Clinic Administered Drugs - Prior Authorization Criteria. VII Paper PA process only Refer to topic #15937 Uses specific Drug PA Form - available Payers cover drugs that are listed on their formularies, and drugs that are not included on their formularies are generally not covered. Recent PDL Publications. Change Healthcare negotiates and contracts Supplemental Rebate Agreements with pharmaceutical manufacturers on behalf of the Commonwealth, provides Pharmacy and Therapeutics (P&T) Committee support and clinical and financial review of drugs in PDL classes. A formulary is a list of all drugs that are covered by a payer. Before completing this form, read the Prior Authorization/Preferred Drug List (PA/PDL) Expedited Emergency Supply Request Instructions, F-00401A. 2020 AHCA Non-Formulary Alternatives List, PDF opens new window. The Department of Human Services ("the department") maintains a Statewide Preferred Drug List (PDL) to ensure that Medical Assistance (MA) program beneficiaries in the Fee-for-Service (FFS) and HealthChoices/Community HealthChoices Managed Care Organization delivery systems have access to clinically effective pharmaceutical care with an emphasis on quality, safety, and optimal results from the drugs that are prescribed for them. At least one of the following is true: 1.1. Publication date: January 30, 2020 For drugs in therapeutic classes and/or subclasses that do not have a preferred drug option, the “PDL PA Criteria” in the third column is not relevant but providers must obtain PDL prior authorization. All drugs designated as preferred with clinical prior authorization on the Statewide PDL require prior authorization through the beneficiary's pharmacy benefits provider. This formulary applies to members of our UnitedHealthcare West HMO medical plans with a … Challenges and Solutions for Fast Remote Persistent Memory Access BEST PAPER AWARD AT SoCC'20! All Medicaid covered drugs are available to beneficiaries when medically necessary regardless of the drugs' inclusion on the Statewide PDL. Current PDL: effective October 1, 2020; Future PDL: effective January 1, 2021; PDL Change Provider Notices. The PDL Packet - Summer 2020 Newsletter . Your 2020 Formulary SignatureValue 3-Tier This formulary is accurate as of Jan. 1, 2020 and is subject to change after this date. Recent PDL Publications. For Clinic Administered Drugs- Prior authorization criteria for medication claims processed by physician/clinic billing using 837P codes can be found at the end of this document or by using this link: Clinic Administered Drugs - Prior Authorization Criteria. Change Healthcare negotiates and contracts Supplemental Rebate Agreements with pharmaceutical manufacturers on behalf of the Commonwealth, provides Pharmacy and Therapeutics (P&T) Committee support and clinical and financial review of drugs in PDL classes. In addition, there are medications and/or classes of medications that are not reviewed by the committee. When considering medications from a class included on the Statewide PDL for MA beneficiaries, providers should try to utilize drugs that are designated as preferred. 2020 Formulary-Last updated 12/16/2020. MassHealth Supplemental Rebate/Preferred Drug List Link to the list of drugs preferred by MassHealth based on supplemental rebate agreements between MassHealth and drug manufacturers. Anuj Kalia, David Andersen, Michael Kaminsky SoCC ’20, October 19–21, 2020, Virtual Event, USA. From a secured browser on the server read the prior Authorization/Preferred Drug (. 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