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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Update: Short-Stock - Nabilone 1mg1202018-Aug-14Word PDF
Short-Stock - Nabilone 0.5mg1192018-Aug-10Word PDF
Benefit List Update_New Addition to Existing Category: IBRUTINIB (IMBRUVICA) 140MG 1182018-Aug-07Word PDF
Update: Short-Stock - Methylphenidate HCL 20 mg1172018-Aug-06Word PDF
Diabetic PIN - BD Nano PRO 32G x 4MM Ultra Fine Pen Needles1162018-Aug-03Word PDF
Short-Stock - Bupropion 300mg1152018-Aug-02Word PDF
Online version of the NIDPF Vol. 78 effective August 1, 20181142018-Jul-31Word PDF
Short-Stock - Carbidopa/Levodopa 50/200 mg CR1132018-Jul-30Word PDF
NLPDP Benefit Status Effective August 1, 20181122018-Jul-24Word PDF
NIDPF Vol. 78 Supplement Effective August 1, 2018 - Refer to Bulletin #112 for Benefit Status1112018-Jul-24Word PDF
Delisting from NIDPF Effective August 1, 20181102018-Jul-23Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective August 1, 20181092018-Jul-23Word PDF
Short-Stock- Acebutolol Hydrochloride 200mg1082018-Jul-20Word PDF
Update: Short-Stock - Brimonidine Tartrate 0.15 percent1072018-Jul-20Word PDF
Short-Stock - Valsartan 80mg1062018-Jul-20Word PDF
Short-Stock - Valsartan 40mg1052018-Jul-19Word PDF
Mifegymiso Coverage1042018-Jul-19Word PDF
New Benefit Additions: Invega Trinza1032018-Jul-18Word PDF
Acetaminophen Compound with Codeine 30 mg 1022018-Jul-13Word PDF
Update: Short-Stock - Acebutolol Hydrochloride 200 mg1012018-Jul-13Word PDF
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Document Name: Date Range: To

Document NameDateView
Coverage Status Table - July, 20182018-Jul-26 PDF
Coverage Status Table - June, 20182018-Jun-20 PDF
Coverage Status Table - April, 20182018-Apr-24 PDF
Coverage Status Table - March, 20182018-Mar-21 PDF
Coverage Status Table - February, 20182018-Feb-13 PDF
Coverage Status Table - January, 20182018-Jan-18 PDF
Coverage Status Table - December 1, 20172017-Dec-18 PDF
Coverage Status Table - November 1, 20172017-Nov-22 PDF
Coverage Status Table - October 1, 20172017-Oct-13 PDF
Coverage Status Table - September 1, 20172017-Sep-27 PDF
Coverage Status Table - July 1, 20172017-Jul-12 PDF
Coverage Status Table - June, 20172017-Jun-16 PDF
Coverage Status Table - April, 20172017-Apr-11 PDF
Coverage Status Table - March 2, 20172017-Mar-08 PDF
Coverage Status Table - February 10, 20172017-Feb-10 PDF
Coverage Status Table - January 11, 20172017-Jan-13 PDF
Coverage Status Table - December 3, 20162016-Dec-07 PDF
Coverage Status Table - November 3, 20162016-Nov-04 PDF
Coverage Status Table - October 12, 20162016-Oct-13 PDF
Coverage Status Table - September 1, 20162016-Sep-02 PDF
 
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Document Name: Date Range: To

Document NameDateView
Diabetic Listing - August 3, 2018 (Refer to Bulletin #116 posted on August 3, 2018)2018-Aug-03Word PDF
Diabetic Listing - November 10, 2017 (Refer to Bulletin #192 posted on November 10, 2017)2017-Nov-10Word PDF
Diabetic Listing - October 31, 2017 (Refer to Bulletin #189 posted on October 31, 2017)2017-Oct-31Word PDF
Diabetic Listing - September 22, 2017 (Refer to Bulletin #164 posted on September 22, 2017)2017-Sep-22Word PDF
Diabetic Listing - April 6, 2017 (Refer to Bulletin #73 posted on April 6, 2017)2017-Apr-06Word PDF
 
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Benefit List Update_New Addition to Existing Category: IBRUTINIB (IMBRUVICA) 140MG 1182018-Aug-07Word PDF
New Benefit Additions: Invega Trinza1032018-Jul-18Word PDF
New DIN Addition: PONATINIB (ICLUSIG) 15MG 1002018-Jul-13Word PDF
New Addition: Mepron 750mg/5ml972018-Jul-06Word PDF
Criteria Update - for drugs to treat overactive bladder (OAB) 952018-Jul-03Word PDF
Benefit List Update_New Addition: KYLEENA INTRAUTERINE SYSTEM872018-Jun-14Word PDF
Benefit List Update_New Addition to existing category: Esbriet 267mg tablet, 801mg tablet852018-Jun-05Word PDF
Benefit List Update_New Addition: ENTRESTO (SACUBITRIL/VALSARTAN)842018-Jun-05Word PDF
Benefit List Update: New drug addition_Strattera822018-May-30Word PDF
Benefit list updates_New additions_Lenvima812018-May-30Word PDF
Benefit list updates_New additions_Ibrance762018-May-28Word PDF
Benefit Status update: OPEN benefit Sumatriptan 100mg 652018-Apr-24Word PDF
Updated: Bulletin #50 posted on March 29, 2018642018-Apr-19Word PDF
Metoject Update on Supply622018-Apr-16Word PDF
New Din Addition: Metoject592018-Apr-12Word PDF
OPEN benefit Sumatriptan 50mg, 100mg & Almotriptan 12.5mg582018-Apr-11Word PDF
Delist Sumatriptan 25mg & Almotritan 6.25mg572018-Apr-11Word PDF
Benefit list updates_New additions_Erelzi 562018-Apr-09Word PDF
Benefit list update: Special Authorization: Uptravi532018-Apr-03Word PDF
Benefit list update: Special Authorization: Taltz522018-Apr-03Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Update: Short-Stock - Nabilone 1mg1202018-Aug-14Word PDF
Short-Stock - Nabilone 0.5mg1192018-Aug-10Word PDF
Update: Short-Stock - Methylphenidate HCL 20 mg1172018-Aug-06Word PDF
Short-Stock - Bupropion 300mg1152018-Aug-02Word PDF
Short-Stock - Carbidopa/Levodopa 50/200 mg CR1132018-Jul-30Word PDF
Short-Stock- Acebutolol Hydrochloride 200mg1082018-Jul-20Word PDF
Update: Short-Stock - Brimonidine Tartrate 0.15 percent1072018-Jul-20Word PDF
Short-Stock - Valsartan 80mg1062018-Jul-20Word PDF
Short-Stock - Valsartan 40mg1052018-Jul-19Word PDF
Update: Short-Stock - Acebutolol Hydrochloride 200 mg1012018-Jul-13Word PDF
Short-Stock - Fluvastatin Sodium 20mg992018-Jul-06Word PDF
Update: Short-Stock - Doxylamine / Pyridoxine 10mg/10mg982018-Jul-06Word PDF
Short-Stock - Methylphenidate HCL 20 mg962018-Jul-04Word PDF
Update: Short-Stock - Tobramycin 60mg/ml902018-Jun-22Word PDF
Update: Short-Stock - Alendronic Acid/Vitamin D3 70 mg/5600IU882018-Jun-15Word PDF
Short-Stock - Tobramycin 60mg/ml862018-Jun-05Word PDF
Short-Stock - Nabilone 1mg752018-May-25Word PDF
Short-Stock - Brimonidine Tartrate 0.15 percent732018-May-17Word PDF
Short-Stock - Cabergoline 0.5 mg722018-May-16Word PDF
Short-Stock - Alendronic Acid/Vitamin D3 70 mg/5600IU702018-May-10Word PDF
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Document Name: Bulletin #: Date Range: To

Document NameBulletin NumberDateView
Online version of the NIDPF Vol. 78 effective August 1, 20181142018-Jul-31Word PDF
NLPDP Benefit Status Effective August 1, 20181122018-Jul-24Word PDF
NIDPF Vol. 78 Supplement Effective August 1, 2018 - Refer to Bulletin #112 for Benefit Status1112018-Jul-24Word PDF
Delisting from NIDPF Effective August 1, 20181102018-Jul-23Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective August 1, 20181092018-Jul-23Word PDF
Acetaminophen Compound with Codeine 30 mg 1022018-Jul-13Word PDF
Online version of the NIDPF Vol. 78 effective July 1, 2018942018-Jun-29Word PDF
NLPDP Benefit Status Effective July 1, 2018922018-Jun-26Word PDF
NIDPF Vol. 78 Supplement Effective July 1, 2018 - Refer to Bulletin #92 for Benefit Status912018-Jun-26Word PDF
Online version of the NIDPF Vol. 78 effective June 1, 2018832018-Jun-01Word PDF
NLPDP Benefit Status Effective June 1, 2018802018-May-29Word PDF
NIDPF Vol. 78 Supplement Effective June 1, 2018 - Refer to Bulletin #80 for Benefit Status792018-May-29Word PDF
Delisting from NIDPF and NLPDP Benefit List Effective June 1, 2018782018-May-29Word PDF
Delistings from NIDPF and NLPDP Benefit List Effective June 1, 2018772018-May-29Word PDF
Online version of the NIDPF Vol. 78 effective May 1, 2018682018-May-01Word PDF
NLPDP Benefit Status Effective May 1, 2018672018-Apr-27Word PDF
NIDPF Vol. 78 Supplement Effective May 1, 2018 - Refer to Bulletin #67 for Benefit Status662018-Apr-27Word PDF
Online version of the NIDPF Vol. 78 effective April 1, 2018482018-Mar-29Word PDF
NLPDP Benefit Status Effective April 1, 2018462018-Mar-26Word PDF
NIDPF Vol. 78 Supplement Effective April 1, 2018 - Refer to Bulletin #46 for Benefit Status452018-Mar-26Word PDF
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Document Name: Date Range: To

Document NameDateView
NLPDP Application for Participation2018-Jun-18Word PDF
2018 Payment Schedule2017-Dec-12Word PDF
2017 Payment Schedule2016-Dec-19Word PDF
 
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